Disclosed are devices and methods for body temperature management using a heat exchange device carrying a heat transfer medium to heat or cool a desired, focused portion of a patient's body. In accordance with certain aspects of the invention, the heat exchange device includes a steerable tip that may be manipulated via a steerable control apparatus to route the device through the patient's body to the intended location of treatment. Methods of using such heat exchange device to effect temperature management of the patient's organs are also disclosed.
