Open AccessEnergy Expenditure and Shivering Severity During Targeted Temperature Management at 36°C After Cardiac Arrest
Author(s) -
Makayla Cordoza,
Lingtak Neander Chan,
Elizabeth Bridges,
David Carlbom,
Hilaire J. Thompson
Publication year - 2020
Publication title -
critical care nursing quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.24
H-Index - 34
eISSN - 1550-5111
pISSN - 0887-9303
DOI - 10.1097/cnq.0000000000000313
Subject(s) - shivering , medicine , targeted temperature management , energy expenditure , hypothermia , anesthesia , resuscitation , cardiopulmonary resuscitation , return of spontaneous circulation
Patients undergoing targeted temperature management (TTM) after cardiac arrest are at risk for shivering, which increases energy expenditure (EE) and may attenuate TTM benefits. This article reports patterns of EE for patients with and without shivering who received TTM at 36°C after cardiac arrest. Based on 96 case assessments, there were 14 occasions when more than one 15-minute interval period was required to appropriately modify the Bedside Shivering Assessment Scale (BSAS) score. Investigators noted that although higher EE was related to higher BSAS scores, there may be opportunities for earlier detection of shivering.