Efficacy of non-pharmacological antishivering Interventions in patients undergoing targeted temperature management: findings from a Scoping Review.

Authors

DOI:

https://doi.org/10.54103/dn/22224

Keywords:

ICU, targeted temperature management, hypothermia shivering critical care, nurses, nursing

Abstract

Targeted temperature management (TTM) is a crucial neuroprotective intervention employed in the Intensive Care Unit to enhance the prognosis of patients following cardiac arrest. Shivering, a common side effect of TTM, poses challenges to its neuroprotective benefits. This scoping review aimed to assess available literature on non-pharmacological therapies for shivering in TTM patients, identifying gaps and potential areas for future research. Thirteen relevant studies were analyzed, involving 743 subjects, with a focus on neuroprotective TTM. The review highlighted the inconsistent nature of existing literature on non-pharmacological shivering treatments, emphasizing the need for effective interventions supported by clinical trials. Forced-air blankets emerged as a frequently explored and effective approach. The study provides a foundation for future research on non-pharmacologic therapies, emphasizing the importance of objective shivering assessment and validated measurement tools.

References

Madden LK, Hill M, May TL, Human T, Guanci MM, Jacobi J, et al. The Implementation of Targeted Temperature Management: An Evidence-Based Guideline from the Neurocritical Care Society. Neurocrit Care. 2017 Dec;27(3):468–87.

Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation [Internet]. 2020 Oct 20 [cited 2024 Jun 19];142(16_suppl_2). Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000916

myCaresTM [Internet]. [cited 2024 Jun 19]. Available from: https://mycares.net/

Sandroni C, Nolan JP, Andersen LW, Böttiger BW, Cariou A, Cronberg T, et al. ERC-ESICM guidelines on temperature control after cardiac arrest in adults. Intensive Care Med. 2022 Mar;48(3):261–9.

Badjatia N, Strongilis E, Gordon E, Prescutti M, Fernandez L, Fernandez A, et al. Metabolic Impact of Shivering During Therapeutic Temperature Modulation: The Bedside Shivering Assessment Scale. Stroke. 2008 Dec;39(12):3242–7.

Sessler DI. Thermoregulatory defense mechanisms: Crit Care Med. 2009 Jul;37(Supplement):S203–10.

Riker RR, Gagnon DJ, May T, Seder DB, Fraser GL. Analgesia, sedation, and neuromuscular blockade during targeted temperature management after cardiac arrest. Best Pract Res Clin Anaesthesiol. 2015 Dec;29(4):435–50.

Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis [Internet]. JBI; 2021 [cited 2022 Jun 2].

Marshall JC, Bosco L, Adhikari NK, Connolly B, Diaz JV, Dorman T, et al. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017 Feb;37:270–6.

Badjatia N, Strongilis E, Prescutti M, Fernandez L, Fernandez A, Buitrago M, et al. Metabolic benefits of surface counter warming during therapeutic temperature modulation*: Crit Care Med. 2009 Jun;37(6):1893–7.

Choi HA, Ko SB, Presciutti M, Fernandez L, Carpenter AM, Lesch C, et al. Prevention of Shivering During Therapeutic Temperature Modulation: The Columbia Anti-Shivering Protocol. Neurocrit Care. 2011 Jun;14(3):389–94.

Cordoza M, Chan LN, Bridges E, Carlbom DJ, Thompson H. Energy Expenditure and Shivering Severity During Targeted Temperature Management at 36°C After Cardiac Arrest: A Case Series. Crit Care Nurs Q. 2020 Jul;43(3):286–93.

Mort TC, Rintel TD, Altman F. The effects of forced-air warming on postbypass central and skin temperatures and shivering activity. J Clin Anesth. 1996 Aug;8(5):361–70.

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Published

2024-06-19

How to Cite

El Lahlah, D. M. M., Maestrini, C., & Bozzetti, M. (2024). Efficacy of non-pharmacological antishivering Interventions in patients undergoing targeted temperature management: findings from a Scoping Review. Dissertation Nursing, 3(2). https://doi.org/10.54103/dn/22224

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Dissertation Nursing EDUCATIONAL

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Received 2024-01-03
Accepted 2024-04-04
Published 2024-06-19