• David B Seder and Thomas E Van der Kloot.
• Division of Pulmonary and Critical Care Medicine, Maine Medical Center, Tufts University School of Medicine, Portland, ME, USA. sederd@mmc.org
• Crit. Care Med. 2009 Jul 1;37(7 Suppl):S211-22.

ObjectivesTo review traditional and newer means of inducing, maintaining, and withdrawing therapeutic hypothermia and normothermia. To suggest treatment algorithms for temperature modulation and review neuromonitoring options.DesignA review of current literature describing methods of performing therapeutic temperature management and neuromonitoring during the cooling, maintenance, and decooling periods. Algorithms for performing therapeutic temperature management are suggested.ResultsTemperature management can be safely and effectively performed using traditional or newer modalities. Although traditional means of cooling are feasible and efficacious, modern devices utilizing feedback loops to maintain steady body temperature and prevent overcooling have advantages in ease of application, patient safety, maintenance of target temperature, and control of decooling. Neuromonitoring options should be adapted to an individual patient and situation.ConclusionsIntensivists should be familiar with techniques to induce, maintain, and withdraw therapeutic temperature management, and select the most appropriate method for a given patient and situation.

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