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

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Clinical Guidelines
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Sandroni C, Nolan JP, Andersen LW, Böttiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Lilja G, Morley PT, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone FS, Soar J
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Cardiology
Emergency Medicine
Speciality
Cardiology
Emergency Medicine
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volume
48
ISSN
1432-1238
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ISSN
1432-1238
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true
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Additional Info
["Sandroni C, Nolan JP, Andersen LW, B\u00f6ttiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Lilja G, Morley PT, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone FS, Soar J","Publisher: Springer Verlag Country of Publication: United States NLM ID: 7704851 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1238 (Electronic) Linking ISSN: 03424642 NLM ISO Abbreviation: Intensive Care Med Subsets: MEDLINE","Journal Article","2022-03-01","Intensive care medicine [Intensive Care Med] 2022 Mar; Vol. 48 (3), pp. 261-269. Date of Electronic Publication: 2022 Jan 28.","English","1432-1238","Cardiopulmonary Resuscitation* , Hypothermia, Induced* , Out-of-Hospital Cardiac Arrest*\/therapy, Adult ; Critical Care ; Humans ; Temperature","Adult, Critical Care, Humans, Temperature, Cardiopulmonary Resuscitation, Hypothermia, Induced, Out-of-Hospital Cardiac Arrest therapy","Intensive care medicine","48"]
Description
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 &gt; 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.<br /> (© 2022. Springer-Verlag GmbH Germany, part of Springer Nature.)
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