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Related Concept Videos

Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...

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Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
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Technical aspects of starting a neonatal cooling program.

John D E Barks1

  • 1Neonatal-Perinatal Medicine, F5790 C.S. Mott Children's Hospital, University of Michigan Health System, Ann Arbor, MI 48109-5254, USA. jbarks@med.umich.edu

Clinics in Perinatology
|November 26, 2008
PubMed
Summary
This summary is machine-generated.

Therapeutic hypothermia offers a safe and effective treatment for infants with hypoxic-ischemic encephalopathy. This guide provides essential information for implementing neonatal cooling programs in intensive care units.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Neurology
  • Critical Care

Background:

  • Hypoxic-ischemic encephalopathy (HIE) is a serious condition in term and near-term infants.
  • Therapeutic hypothermia (cooling) is recognized as a potentially life-saving intervention for HIE.
  • Despite growing evidence, implementation of cooling protocols requires careful consideration and planning.

Purpose of the Study:

  • To provide practical guidelines for clinicians to implement therapeutic hypothermia programs.
  • To address the decisions and considerations necessary for establishing neonatal cooling protocols.
  • To support the safe and effective application of cooling for HIE in neonatal intensive care units.

Main Methods:

  • This article synthesizes current evidence and clinical consensus on therapeutic hypothermia.
  • It focuses on the practical aspects of program implementation, assuming established efficacy.
  • Guidelines are presented for initiating and managing neonatal cooling interventions.

Main Results:

  • Clinicians are increasingly adopting therapeutic hypothermia based on safety and efficacy data.
  • Successful implementation requires addressing logistical and clinical decision-making processes.
  • Pending trial results will further refine understanding of cooling's precise benefits.

Conclusions:

  • Clinicians convinced of cooling's benefits should proceed with implementation planning.
  • This article serves as a resource for establishing neonatal cooling programs.
  • Effective implementation is key to maximizing the benefits of therapeutic hypothermia for HIE.