Sunday, June 4, 2017

Frigotherapy: purposes, contraindications, and applications


Local frigotherapy includes ice packs, ice capsules, ice caps, ice troughs, cold compresses, chemical refrigerations, ice blankets, and semiconductor cooling caps. Traditional ice packs, ice capsules, ice caps, ice troughs are rare in clinical practices, and the most used are chemical ice packs, ice caps, ice blanket, and semiconductor cooling caps. Systemic frigotherapy includes warm sponge bath and alcohol sponge bath.

Purposes

Reduce local congestion or bleeding: clinical use for early hemostasis of local soft tissue injury or tonsil surgery, nasal bleeding, and so on.
Reduce pain: application to the early pain caused by acute injury, toothache, scalding pain, and so on.
Control inflammation spread: indicated in early inflammation, such as early inflammation in nasal soft tissue.
Lower body temperature: hypothermy for patients with hyperpyrexia, prevention and treatment of brain edema for patients with heat stroke, brain trauma, cerebral hypoxia.

Contraindications

  • Blood circulation disorders: extensive tissue damage, poor blood circulation in local tissue, systemic microcirculation disorder, shock, peripheral vascular disease, atherosclerosis, diabetes, neuropathy, edema
  • Chronic inflammation or deep purulent lesions
  • Tissue injury, wound rupture, or open wound
  • Cold hypersensitivity 
  • Other cases, such as coma, paresthesia, older adults, infants, young children, joint pain, heart disease, breastfeeding women
  • Occiput posterior, auricle, scrotum, precardium, abdomen, pelma


Applications

Ice bag application: placement on the forehead, head, side neck, armpit, groin, and other large vascular areas, anterior jaw after tonsil surgery, no more than 30 minutes.

Warm water bath, alcohol sponge bath: placement of ice bag on the head to prevent headache caused by head congestion; placement of hot water bag on foot to promote peripheral blood vessels to expand. Bath time is no more than 20 minutes.

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