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

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

Nolan, Jerry P. (author): Royal United Hospital, Bath,University of Warwick

Sandroni, Claudio (author): Catholic University of the Sacred Heart, Rome,Policlinico Universitario Agostino Gemelli

Andersen, Lars W. (author): Aarhus University Hospital

Böttiger, Bernd W. (author): University Hospital of Cologne

Cariou, Alain (author): Cochin Hospital

Cronberg, Tobias (author): Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital

Friberg, Hans (author): Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SWECRIT,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital

Genbrugge, Cornelia (author): Saint-Luc University Hospital,Catholic University of Louvain

Lilja, Gisela (author): Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital

Morley, Peter T. (author): University of Melbourne

Nikolaou, Nikolaos (author): Athens General Hospital

Olasveengen, Theresa M. (author): Oslo university hospital

Skrifvars, Markus B. (author): University of Helsinki

Taccone, Fabio S. (author): Université Libre de Bruxelles (ULB)

Soar, Jasmeet (author): Southmead Hospital

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Elsevier BV, 2022
2022
English 8 s.
In: Resuscitation. - : Elsevier BV. - 0300-9572. ; 172, s. 229-236

Related links:: http://dx.doi.org/10... (free); show more...; http://www.resuscita...; https://lup.lub.lu.s...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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 °C) for at least 72 hours. There was insufficient evidence to recommend for or against temperature control at 32–36 °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 headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Keyword

Cardiac arrest
Coma
Hypothermia
Practice guidelines
Prognosis

Publication and Content Type

art (subject category)
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By the author/editor: Nolan, Jerry P.; Sandroni, Claudi ...; Andersen, Lars W ...; Böttiger, Bernd ...; Cariou, Alain; Cronberg, Tobias; show more...; Friberg, Hans; Genbrugge, Corne ...; Lilja, Gisela; Morley, Peter T.; Nikolaou, Nikola ...; Olasveengen, The ...; Skrifvars, Marku ...; Taccone, Fabio S ...; Soar, Jasmeet; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Anesthesiology a ...

Articles in the publication: Resuscitation

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