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Updated: Oct 18, 2025

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
Increasing the Effectiveness of Targeted Temperature Management
Melissa Moreda1, Pamela S Beacham2, Angela Reese3
1Melissa Moreda is a clinical nurse specialist at Duke Raleigh Hospital, Durham, North Carolina.
Topic:
Targeted temperature management and therapeutic hypothermia are essential components of the multimodal approach to caring for compromised patients after cardiac arrest and severe traumatic brain injury.
Clinical Relevance:
The continuously evolving science necessitates summation of individual facets and concepts to enhance knowledge and application for optimally delivering care. Targeted temperature management is a complex therapy that requires fine-tuning the most effective interventions to maintain high-quality targeted temperature management and maximize patient outcomes.
Purpose:
To describe the underlying pathophysiology of fever and the importance of manipulating water temperature and of preventing and treating shivering during that process.
Content Covered:
This article discusses nursing considerations regarding the care of patients requiring targeted temperature management that are necessary to improve patient outcomes.
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Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...