Temperature Management in Acute Neurologic Disorders

Axelrod, Yekaterina; Diringer, Michael N.

doi:10.1016/j.ccc.2006.06.001

Cited by 46 publications

(32 citation statements)

References 142 publications

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“…First, the assessor would observe the patient from the foot of the bed; next, the assessor would place his or her hand on the patient's jaw and upper T herapeutic temperature management (TTM) is being instituted with increasing frequency in patients after cardiac arrest and acute brain injury. [1][2][3][4][5] Preclinical data and results of clinical studies support the use of hypothermia and fever reduction to reduce secondary brain injury. 4,[6][7][8] However, authors cite shivering as either a complication of TTM or a hurdle to overcome, often functioning as a barrier to implementation of TTM.…”

Section: Methodsmentioning

confidence: 99%

Interrater Reliability of the Bedside Shivering Assessment Scale

Olson¹,

Grissom²,

Williamson³

et al. 2013

American Journal of Critical Care

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Section: Methodsmentioning

confidence: 99%

Interrater Reliability of the Bedside Shivering Assessment Scale

Olson¹,

Grissom²,

Williamson³

et al. 2013

American Journal of Critical Care

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“…All other interventions should either be used in conjunction or until the source of the fever can be identified. Antipyretics may be used although they are rarely efficacious [34,36,38,84], especially if thermoregulatory centers have been damaged from a neurologic insult [38]. Cooling with a forced air device in the intensive care unit has been shown to be ineffective [38], however failure was attributed to intolerance from the patient, shivering, and vasoconstriction which all can be avoided with general anesthesia.…”

Section: Scip Measurement and Maintenance Of Normothermiamentioning

confidence: 99%

“…Packing the patient in ice or using a traditional cooling blanket is inadequate, and these methods can cause significant skin damage [31,34,84,98,99]. Catheter-based heat exchange devices [34,79,85,86], advanced surface cooling devices [34,87], and intravenous infusions of cooled liquids [7,31,83], have all been found to be highly effective at reducing body temperature.…”

Section: Indications For Intraoperative Hypothermiamentioning

confidence: 99%

Perioperative temperature measurement and management: moving beyond the Surgical Care Improvement Project

Sappenfield¹,

Hong²,

Galvagno³

2013

J Anesthesiol Clin Sci

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Intraoperative management of patient body temperature is a standard of care for practicing anesthesiologists. Merely complying with the Surgical Care Improvement Project (SCIP) measurement is inadequate for optimizing perioperative outcomes. Clinicians should have a sound understanding of available temperature monitoring sites, deleterious effects of hypothermia, and indications for therapeutic hypothermia. This foundation will help physicians use indicated modalities to improve patient outcomes throughout the perioperative period. The purpose of this paper is to review appropriate intraoperative temperature monitoring, the importance of maintaining normothermia, and indications for intraoperative hypothermia.

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“…No other disease is so severe, so complicated and so difficult to treat as jwara 2 . According to modern science, Pyrexia is defined as body temperature above the normal range due to an increase in the temperature regulatory set-point 3 . Pyrexia is either a symptom of a disease or disease itself.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Antipyretic Activity of Bruhat Hinguleshwara Rasa

Shivaleela¹,

Hadimur²,

Sarashetti³

et al. 2017

J Biol Sci Opin

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Abnormal food habits (mithyaahara), abnormal style of living (mithyavihara), and other factors disturbs Jatharagni, which leads to jwara (fever) &vedana (pain). Bruhat Hinguleshwara Rasa is mentioned in Bhaisajya Ratnavali, having a multidimensional therapeutic indication i.e. Jwarahara and Vedananashak& this activity have encouraged to evaluate the antipyretic activity. Albino rats were divided into three groups and distributed 06 in each group. Test drug (Group-I), Standard drug (Group-II) and Group-III (Propylene glycol).Anti-pyretic study was done by Yeast induced method. Significant antipyretic activity was observed in Test Drug (GI), and Standard Drug (GII). But in Test Drug (GI) it was highly significant than Control Drug (GIII). In test drug antipyretic activity was observed from 1st hr to 6th hr, while in standard it was fr om 1st hr to 5th hr. Bruhat Hinguleshwara Rasa has shown significant and sustained Anti-pyretic Activity. This study has provided evidence& given scope for clinical research.

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Temperature Management in Acute Neurologic Disorders

Cited by 46 publications

References 142 publications

Interrater Reliability of the Bedside Shivering Assessment Scale

Interrater Reliability of the Bedside Shivering Assessment Scale

Perioperative temperature measurement and management: moving beyond the Surgical Care Improvement Project

Evaluation of Antipyretic Activity of Bruhat Hinguleshwara Rasa

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