Optimal management of shivering during therapeutic hypothermia after cardiac arrest

Document Type

Article

Publication Title

Critical care nurse

Abstract

Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduction in the shivering threshold. Other effective pharmacological agents recommended for reducing the threshold include dexmedetomidine, midazolam, fentanyl, and magnesium sulfate. In addition, skin counterwarming techniques, such as use of an air-circulating blanket, are effective nonpharmacological methods for reducing shivering when used in conjunction with medication. As a last resort, neuromuscular blocking agents are considered appropriate therapy for management of refractory shivering.

First Page

e18

Last Page

30

DOI

10.4037/ccn2011618

Publication Date

12-1-2011

Identifier

22135340 (pubmed); 10.4037/ccn2011618 (doi); 31/6/e18 (pii)

This document is currently not available here.

Share

COinS