ERC-ESICM guidelines on temperature control after cardiac arrest in adults

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Nolan , J P , Sandroni , C , Andersen , L W , Boettiger , B W , Cariou , A , Cronberg , T , Friberg , H , Genbrugge , C , Lilja , G , Morley , P T , Nikolaou , N , Olasveengen , T M , Skrifvars , M B , Taccone , F S & Soar , J 2022 , ' ERC-ESICM guidelines on temperature control after cardiac arrest in adults ' , Resuscitation , vol. 172 , pp. 229-236 . https://doi.org/10.1016/j.resuscitation.2022.01.009

Title: ERC-ESICM guidelines on temperature control after cardiac arrest in adults
Author: Nolan, Jerry P.; Sandroni, Claudio; Andersen, Lars W.; Boettiger, Bernd W.; Cariou, Alain; Cronberg, Tobias; Friberg, Hans; Genbrugge, Cornelia; Lilja, Gisela; Morley, Peter T.; Nikolaou, Nikolaos; Olasveengen, Theresa M.; Skrifvars, Markus B.; Taccone, Fabio S.; Soar, Jasmeet
Contributor organization: HUS Emergency Medicine and Services
Department of Diagnostics and Therapeutics
University of Helsinki
Date: 2022-03
Language: eng
Number of pages: 8
Belongs to series: Resuscitation
ISSN: 0300-9572
DOI: https://doi.org/10.1016/j.resuscitation.2022.01.009
URI: http://hdl.handle.net/10138/346512
Abstract: The aim of these guidelines is to provide evidence based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 degrees C) for at least 72 hours. There was insufficient evidence to recommend for or against temperature control at 32-36 degrees C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC.
Subject: Cardiac arrest
Coma
Prognosis
Hypothermia
Practice guidelines
EUROPEAN RESUSCITATION COUNCIL
MILD THERAPEUTIC HYPOTHERMIA
COMATOSE SURVIVORS
CARDIOPULMONARY-RESUSCITATION
ADVISORY STATEMENT
MANAGEMENT
SOCIETY
MORTALITY
CONSENSUS
3121 General medicine, internal medicine and other clinical medicine
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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