Which techniques are used to induce mild hypothermia in targeted temperature management (TTM)?

Updated: Jul 26, 2019
  • Author: Alex Koyfman, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Mild hypothermia is induced by using surface, internal, or a combination of cooling methods. Thermal heat-exchange cooling pads (eg, Arctic Sun) using water or gel may have superior rate of cooling (1.33°C/h for water and 1.04°C/h for gel) compared with cooling with 30 mL/kg iced saline plus ice packs (0.31°C/h). [47] Endovascular cooling may obviate the need for paralysis and provide very tight temperature control.

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