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TTM Guidance for Critical Care: Part 2 of 2

By CSZ Medical On May 31, 2018 10:00:00 AM

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TTM After Stroke, Intra-Cerebral Hemorrhage, and Subarachnoid Hemorrhage

The panel found very little evidence to support the use of TTM in the hypothermic range in these clinical settings. Their recommendations for this group were all in the expert opinion category.

Because fever is a common complication in these situations and associated with poorer outcomes, the panel recommended using TTM for normothermia in severe ischemic stroke.

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Topics: Hyper-Hypothermia, therapeutic hypothermia

TTM Guidance for Critical Care: Part 1 of 2

By CSZ, A Gentherm Company On May 29, 2018 1:00:00 PM

New Recommendations for Use of Targeted Temperature Management in Critical Care Settings

For intensivists seeking guidance, a recent report in the Annals of Intensive Care gives detailed recommendations on the use of targeted temperature management (TTM) for critically ill patients. The report, co-authored by several groups of French physicians, examines the evidence of TTM in a variety of clinical situations, provides 30 specific recommendations, and rates the strength of evidence supporting each recommendation. The result is a thorough yet practical set of guidelines for front-line practitioners.

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Topics: Hyper-Hypothermia, therapeutic hypothermia

Indications and Contraindications for Therapeutic Hypothermia in Neonates

By CSZ, A Gentherm Company On Mar 21, 2018 1:00:00 PM

In continuing our podcast interview with Jennifer Norgaard, a NICU Clinical Nurse Specialist at a level IV NICU in California, she explained that while hypoxic-ischemic encephalopathy (HIE) may not be preventable, therapeutic hypothermia (TH), or targeted temperature management (TTM), is a promising treatment for neonates. She indicated that It provides a way to reduce brain cell damage, by cooling eligible infants within 6 hours of birth to a body temperature of 34º C +/- 0.5º for 72 hours before slowly rewarming them to normal temperature.(3)

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Topics: therapeutic hypothermia, NICU

Therapeutic Hypothermia for Hypoxic Ischemic Encephalopathy

By CSZ, A Gentherm Company On Mar 14, 2018 11:00:00 AM

As a nurse in the NICU, you know the devastation parents of newborns feel when they discover their much anticipated newborn baby has suffered oxygen deprivation during the birthing process and is critically ill. A decrease in the oxygen supply to the baby’s brain just prior to or during delivery may cause hypoxic ischemic encephalopathy (HIE) which is a leading cause of death or permanent brain damage in newborns.(1)

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Topics: therapeutic hypothermia, NICU

A Summary of Therapeutic Hypothermia Trials in Neonatal Care

By CSZ, A Gentherm Company On Feb 20, 2018 3:00:00 PM

In the final section of our podcast, "Making a Difference: Targeted Temperature Management in Neonatal Care", Jennifer Norgaard RN, a NICU clinical nurse specialist at a level IV NICU in California, walked us through the process of treating hypoxic ischemic encephalopathy (HIE) with therapeutic hypothermia. She has expressed that HIE has had limited treatment options and that therapeutic hypothermia (TH) has so far shown the greatest success in minimizing brain damage.

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Topics: therapeutic hypothermia, NICU

Infant Cooling Criteria for the Neonatal ICU

By CSZ, A Gentherm Company On Dec 21, 2017 9:00:00 AM

We continued our interview with Jennifer Norgaard about targeted temperature management in the NICU by addressing the criteria for infant cooling. As a review, hypoxic-ischemic encephalopathy (HIE) is caused by oxygen deprivation at the time of birth. This shortage of oxygen can have severe consequences on the infant's developing brain, causing motor and cognitive issues later in life. Since HIE is caused by a variety of fetal, maternal, and environmental causes, there is no sure way to prevent this syndrome.

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Topics: Hyper-Hypothermia, therapeutic hypothermia

Three Reasons System Integrity Matters for Targeted Temperature Management

By CSZ Medical On Sep 6, 2016 3:00:00 PM

Targeted Temperature Management is Important for Many Different Patients

In order to maintain proper temperature management, it is important to ensure that all the right parts are in place.  It may sound simple, but inaccurate temperature management can result from a number of potential causes, including water leakage and decreased delivered therapy, which could affect patient outcomes.

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Topics: temperature management, therapeutic hypothermia

*This article is intended for educational purposes only and is not intended as medical advice or as a substitute for the medical judgment of a physician in evaluating patients. For more information, please review the information sources referenced in this article. For more information on CSZ, please visit our website or call us at 1-800-989-7373.