Patients with hypertensive crises may require immediate reduction in elevated blood pressure to prevent and arrest progressive end-organ damage. The best clinical setting in which to achieve this blood pressure control is in the intensive care unit, with the use of titratable intravenous hypotensive agents.
Implementation of therapeutic hypothermia has its advantages, although complications are associated with its use. Shivering is a common complication that occurs during the induction and rewarming phases of therapeutic hypothermia. Strategies for preventing and managing shivering vary across protocols.
Cryotherapy is broad term that covers a number of specific techniques, including ice packs, cold gel packs, ice massage, ice immersion, cold whirlpool, and vapocoolant spray. c. Initially, after application of ice pack, patient feels cold, which progresses to burning, warming sensation.