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In this article the author discusses paradox in the issue of reimbursement in the U.S. He is critical of the reimbursement models of the country as hindrances towards the realization of direct reimbursement for new technologies and therapies. He examines the extant methods of payment for new technologies and for therapeutic temperature management. He suggests the alignment of the country's financial incentives in terms of reimbursement systems to support new technologies of merit.

The article presents cooling methods as practical aspects of therapeutic temperature management (TTM). It discusses the four phases of temperature modulation during therapeutic hypothermia which include induction, decooling, maintenance, and normothermia. After reviewing the literature on methodologies of TTM and neuromonitoring in these phases, it suggests the use of devices utilizing feedback loops and that intensivists be knowledgeable on techniques in TTM.