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"CRITICAL CARE A DAY"

Today's ICU  Pearl
Monday July 6, 2009
 
 
 
 
Q: Rewarming after therapeutic hypothermia should begun 24 hours after the
 
A) time of initiation of cooling  or
B) from the time the target temperature (32-34 C) is achieved.
 
(Choose one)
 
 
 
 
Answer: Countdown for rewarming after therapeutic hypothermia should begun 24 hours after the time of initiation of cooling. The patient should be actively cooled by using an induced hypothermia protocol for 24 hours to a goal temperature of 32-34ºC. The goal is to achieve the target temperature as quickly as possible. In most cases, this can be achieved within 3-4 hours of initiating cooling.
 
See very good review article on Therapeutic Hypothermia (emedicine.com)

 
 
 
 
 
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