{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:21:40Z","timestamp":1760660500310,"version":"build-2065373602"},"reference-count":16,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Targeted temperature management (TTM), particularly the avoidance of hyperpyrexia, is a cornerstone of intensive care, especially in conditions such as cerebral edema and increased intracranial pressure. Management becomes more complex in pregnancy, where maternal neuroprotection must be weighed against fetal safety. Both invasive and noninvasive methods for temperature control have been described, but evidence regarding their safety in pregnancy remains limited. We present the case of a 24-year-old pregnant woman admitted to the ICU with cerebral edema due to subdural empyema. The Arctic Sun surface cooling system was employed for fever control, with continuous maternal and fetal monitoring. The system effectively maintained normothermia without immediate adverse effects on either the mother or the fetus. However, on the third day of its use, the patient experienced a spontaneous preterm delivery of a stillborn fetus. Although a causal link between surface cooling and preterm labor cannot be established from this single case, the event underscores the need for caution and further investigation. This case highlights both the feasibility and the uncertainties of using advanced TTM devices in critically ill pregnant patients. It emphasizes the importance of multidisciplinary monitoring and the urgent need for evidence-based guidelines to balance maternal benefits with fetal safety.<\/jats:p>","DOI":"10.3390\/reports8040204","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T12:17:02Z","timestamp":1760617022000},"page":"204","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arctic Sun Surface Temperature Management Device for Neuroprotection During Pregnancy\u2014A Short Case Report and Review of the Literature"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6747-1961","authenticated-orcid":false,"given":"Vasileios","family":"Vazgiourakis","sequence":"first","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"},{"name":"School of Medicine, University of Thessaly, 41500 Thessaly, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2453-5398","authenticated-orcid":false,"given":"Konstantinos","family":"Mantzarlis","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"},{"name":"School of Medicine, University of Thessaly, 41500 Thessaly, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantina","family":"Deskata","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8814-0371","authenticated-orcid":false,"given":"Asimina","family":"Valsamaki","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Foteini","family":"Bardaka","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitra","family":"Bagka","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Dimopoulos","sequence":"additional","affiliation":[{"name":"Third Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demostenes","family":"Makris","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece"},{"name":"School of Medicine, University of Thessaly, 41500 Thessaly, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.bja.2023.04.030","article-title":"Targeted temperature management in patients with intracerebral haemorrhage, subarachnoid haemorrhage, or acute ischaemic stroke: Updated consensus guideline recommendations by the Neuroprotective Therapy Consensus Review (NTCR) group","volume":"131","author":"Lavinio","year":"2023","journal-title":"Br. 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