Open AccessUsing Esophageal Temperature Management to Treat Severe Heat Stroke: A Case Report
Author(s) -
Katherine Riley Martin,
Melissa Naiman,
Maurice Espinoza
Publication year - 2019
Publication title -
the journal of neuroscience nursing/journal of neuroscience nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.371
H-Index - 43
eISSN - 1945-2810
pISSN - 0888-0395
DOI - 10.1097/jnn.0000000000000488
Subject(s) - medicine , heat illness , intubation , critically ill , core temperature , intensive care medicine , stroke (engine) , endotracheal tube , medical emergency , surgery , anesthesia , mechanical engineering , physics , meteorology , engineering
Exertional heat stroke (EHS) is defined by a core body temperature that exceeds 40°C with associated central nervous system dysfunction, skeletal muscle injury, and multiple organ damage. The most important initial focus of treatment involves reduction of patient temperature. First approaches to achieve temperature reduction often include ice packs, water blankets, and cold intravenous fluid administration. When these measures fail, more advanced temperature management methods may be deployed but often require surgical expertise. Esophageal temperature management (ETM) has recently emerged as a new temperature management modality in which an esophageal heat transfer device replaces the standard orogastric tube routinely placed after endotracheal intubation and adds a temperature modulation capability. The objective of this case study is to report the first known use of ETM driven by bedside nursing staff in the treatment of EHS.