What methods are you using in your unit for therapeutic hypothermia? Please leave your comments.
1. Cool air
2. Cooling mattress and blankets
3. Cold and wet towels +/- Ice packs
4. Cold water immersion
5. Water blankets - e.g. PlastiPad water blankets
7. Special gel pads with cold water circulation - e.g. Arctic Sun technology with the Arctic Sun Energy Transfer Pads
Source: Mayo Healthcare Australia
8. Head wrap, vest, lower body blanket - e.g. Blanketrol® III total body Hyper-Hypothermia water therapy system
1. Large volume, ice-cold intravenous fluid (1500 ml to 3000 ml at 4 degrees Celsius of normal saline or Ringer's lactate)
2. Cooling catheters - e.g. CoolGard
3. Extracorporeal devices - cardiopulmonar bypass, CRRT, ECMO
4. Peritoneal, pleural or gastric lavage
Disclaimer: The above is meant for educational purpose only. The HKSCCM has no direct commercial relationship with the above companies.
3. 2009 Mar - Grand Round: The Key to Survival
4. 2009 Therapeutic hypothermia and controlled normothermia in the intensive care unit: Practical considerations, side effects, and cooling methods* [Review Article] Critical Care Medicine:Volume 37(3)March 2009pp 1101-1120