Work

Derived electromyography is an accurate measure of shivering burden during targeted temperature management

Year: 2014

Type: article

Abstract: Shivering complicates targeted temperature management (TTM) by increasing metabolism, oxygen consumption, resting energy expenditure, and carbon dioxide production and is associated with lower brain tissue oxygen levels; all of these may limit the effectiveness of TTM. However, the recognition and measurement of shivering are subjective and ill-defined. The Bedside Shivering Assessment Scale (BSAS) is the only validated tool to describe the intensity of shivering. We hypothesized that the derived electromyography (dEMG) value measured by the bispectral index monitor (BIS) would agree with energy expenditure due to shivering, compared with the BSAS.

Source: Critical Care

DOI: 10.1186/cc13687

Authors: T May, DS Seder, GF Fraser, BM McCrum, CF Hoover, RR Riker

Institutions: Maine Medical Center, Maine Medical Center

Language: English

Topic: Thermal Regulation in Medicine

Subfield: Critical Care and Intensive Care Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $4,190