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Updated: Dec 28, 2025

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
Control of Shivering During Targeted Temperature Management
Michael J Armahizer1, Micheal Strein, Mehrnaz Pajoumand
1Department of Pharmacy, University of Maryland Medical Center, Baltimore (Drs Armahizer and Pajoumand); and School of Pharmacy Virginia Commonwealth University, Richmond (Dr Strein).
Abstract:
Targeted temperature management (TTM) is used frequently in patients with a variety of diseases, especially those who have experienced brain injury and/or cardiac arrest. Shivering is one of the main adverse effects of TTM that can often limit its implementation and efficacy. Shivering is the body's natural response to hypothermia and its deleterious effects can negate the benefits of TTM. The purpose of this article is to provide an overview of TTM strategies and shivering management.
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