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ERC-ESICM guideline...
ERC-ESICM guidelines on temperature control after cardiac arrest in adults
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- Sandroni, Claudio (författare)
- Policlinico Universitario Agostino Gemelli,Catholic University of the Sacred Heart, Rome
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- Nolan, Jerry P. (författare)
- University of Warwick,Royal United Hospital, Bath
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- Andersen, Lars W. (författare)
- Aarhus University Hospital,Prehospital Emergency Medical Services
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- Böttiger, Bernd W. (författare)
- University Hospital of Cologne
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- Cariou, Alain (författare)
- Cochin Hospital
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- Cronberg, Tobias (författare)
- Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Center for cardiac arrest,Lund University Research Groups
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- Friberg, Hans (författare)
- 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
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- Genbrugge, Cornelia (författare)
- Catholic University of Louvain,Saint-Luc University Hospital
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- Lilja, Gisela (författare)
- Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Center for cardiac arrest,Lund University Research Groups
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- Morley, Peter T. (författare)
- University of Melbourne
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- Nikolaou, Nikolaos (författare)
- Athens General Hospital
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- Olasveengen, Theresa M. (författare)
- Oslo university hospital
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- Skrifvars, Markus B. (författare)
- University of Helsinki
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- Taccone, Fabio S. (författare)
- Université Libre de Bruxelles (ULB)
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- Soar, Jasmeet (författare)
- Southmead Hospital
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(creator_code:org_t)
- 2022-01-28
- 2022
- Engelska 9 s.
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Ingår i: Intensive Care Medicine. - : Springer Science and Business Media LLC. - 0342-4642 .- 1432-1238. ; 48:3, s. 261-269
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://link.springe...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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 h. 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Cardiac arrest
- Coma
- Hypothermia
- Practice guidelines
- Prognosis
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Sandroni, Claudi ...
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Nolan, Jerry P.
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Andersen, Lars W ...
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Böttiger, Bernd ...
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Cariou, Alain
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Cronberg, Tobias
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Friberg, Hans
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Genbrugge, Corne ...
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Lilja, Gisela
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Morley, Peter T.
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Nikolaou, Nikola ...
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Olasveengen, The ...
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Skrifvars, Marku ...
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Taccone, Fabio S ...
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Soar, Jasmeet
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