Educational
Credits
THERAPEUTIC USES OF HEAT AND COLD
STUDY GUIDE FOR NURSES
Overview
Healthcare professionals use a variety of heating and cooling
devices to achieve therapeutic goals, including the local
application of heat and cold and generalized warming to prevent
perioperative hypothermia. This study guide begins with a
review of the physiology of human thermoregulation. Therapeutic
uses of localized heat and cold are discussed, with emphasis
on the use of heating and cooling pads that contain circulating
water. Measures that can be taken to maintain perioperative
normothermia are described. Factors contributing to unplanned
perioperative hypothermia are listed, and possible adverse
outcomes of hypothermia are discussed. Suggestions are offered
for temperature monitoring during the perioperative period,
and general temperature management strategies are explained.
The applications of various active warming and cooling devices
are examined, including conductive and convective blankets,
fluid warmers, airway heating and humidification, cardiovascular
heating/cooling, and ECMO heaters.
This self-study activity is can be used as a reference tool
by the learner; continuing nursing education credit is also
available.
To receive 2 contact hours, please mail a check for $12.00,
with the registration and evaluation forms located on pages
29 and 30 of the PDF to: HealthStream • 2170 S. Parker
Rd., Suite 140 • Denver, CO 80231
Click
here to download the Study Guide
Links
New England
Journal of Medicine
The
Journal of the American Society of Anesthesiologists
The Association
of Perioperative Registered Nurses
Suggested Readings
Jonathan Jagid, MD,
Andrea Castelblanco, MD*, and John W. Kuluz, MD*, Head cooling
decreases brain temperature after traumatic brain injury,
Departments of Neurosurgery and Pediatrics*, Miller School
of Medicine, University of Miami, Miami, FL 33101, 2004.
The
Hypothermia after Cardiac Arrest Study Group,
Mild therapeutic hypothermia to improve the neurologic outcome
after cardiac arrest, NE Journal of Medicine, 2002 346: 549-556.
Sessler DI, Kurz A, Lenhardt R, Perioperative normothermia
to reduce the incidence of surgical-wound infection and shorten
hospitalization, NE Journal of Medicine, 1996-2003; 334 (19):
1209-1215. Brief Summary
Baker KZ, Young WL, Deliberate mild intraoperative hypothermia
for craniotomy, Anesthesiology, 1994; 81: 361-367.
Marion
DW, Obrist WD, et al. The use of moderate therapeutic hypothermia
for patients with severe head injuries: a preliminary report,
J of Neurology, 1993; 79(3): 354-362.
Yamashia I, Mild hypothermia ameliorated ubiquitin synthesis
and prevents delayed neural death in the gerbil hippocampus,
Stroke, 1991; 22: 1574-1581.
Murakami
W, External Rewarming and Age in Mildly Hypothermic Patients
after Cardiac Surgery, Heart and Lung, 1995; 24(5): 2347-2358.
Sanford
M, Rewarming Cardiac Surgical Patients: Warm Water vs. Warm
Air, American Journal of Critical Care, 1997; 6(1): 39-45.
Michlovitz, Susan L, Thermal Agents in Rehabilitation, F.A.
Davis Co., Philadelphia, 1986.
Lehmann, Justus F, Therapeutic Heat and Cold, 3rd Ed., Williams
& Wilkins, Baltimore, 1982.
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