A Continuous Objective Shivering Monitor During Targeted Temperature Management After Cardiac Arrest

Authors

Richard R. Riker, Maine Medical CenterFollow
Erica Schlichting
David Seder, Maine Medical CenterFollow
Mary Weatherbee, Maine Medical CenterFollow
David J Gagnon, Maine Medical CenterFollow
Teresa May, Maine Medical CenterFollow

Files

Description

Background:

• Shivering during targeted temperature management (TTM) after cardiac arrest is stressful and linked to cerebral metabolic crisis.

• Few publications report shivering incidence, timing, or severity during TTM, and shivering treatment recommendations conflict.

• To evaluate multimodal shivering assessments, we studied patients during TTM managed with surface cooling, moderate analgosedation, surface counterwarming, and intermittent neuromuscular blockade (NMB) and evaluated surface electromyographic (EMG) power in decibels using the Medtronic bispectral index (BIS) monitor.

Institution/Department

Maine Medical Center

Publication Date

5-2024

Publisher

MaineHealth

City

Portland, Maine

Keywords

Temperature Management, Cardiac Arrest, Shivering Monitoring, Cerebral Metabolic Crisis

Disciplines

Critical Care

Recommended Citation

Riker, Richard R.; Schlichting, Erica; Seder, David; Weatherbee, Mary; Gagnon, David J; and May, Teresa, "A Continuous Objective Shivering Monitor During Targeted Temperature Management After Cardiac Arrest" (2024). Costas T. Lambrew Research Retreat 2024. 2.
https://knowledgeconnection.mainehealth.org/lambrew-retreat-2024/2