Universität zu Köln

Sandroni, Claudio ORCID: 0000-0002-8878-2611, Nolan, Jerry P., Andersen, Lars W., Bottiger, Bernd W., Cariou, Alain, Cronberg, Tobias, Friberg, Hans, Genbrugge, Cornelia, Lilja, Gisela ORCID: 0000-0003-1860-1456, Morley, Peter T., Nikolaou, Nikolaos, Olasveengen, Theresa M., Skrifvars, Markus B., Taccone, Fabio S. and Soar, Jasmeet ORCID: 0000-0001-5970-6073 (2022). ERC-ESICM guidelines on temperature control after cardiac arrest in adults. Intensive Care Med., 48 (3). S. 261 - 270. NEW YORK: SPRINGER. ISSN 1432-1238

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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 h. 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sandroni, Claudio UNSPECIFIED orcid.org/0000-0002-8878-2611 UNSPECIFIED Nolan, Jerry P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Andersen, Lars W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bottiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cariou, Alain UNSPECIFIED UNSPECIFIED UNSPECIFIED Cronberg, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Friberg, Hans UNSPECIFIED UNSPECIFIED UNSPECIFIED Genbrugge, Cornelia UNSPECIFIED UNSPECIFIED UNSPECIFIED Lilja, Gisela UNSPECIFIED orcid.org/0000-0003-1860-1456 UNSPECIFIED Morley, Peter T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nikolaou, Nikolaos UNSPECIFIED UNSPECIFIED UNSPECIFIED Olasveengen, Theresa M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Skrifvars, Markus B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Taccone, Fabio S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Soar, Jasmeet UNSPECIFIED orcid.org/0000-0001-5970-6073 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-696767
DOI:	10.1007/s00134-022-06620-5
Journal or Publication Title:	Intensive Care Med.
Volume:	48
Number:	3
Page Range:	S. 261 - 270
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1238
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EUROPEAN RESUSCITATION COUNCIL; MILD THERAPEUTIC HYPOTHERMIA; 2020 INTERNATIONAL CONSENSUS; CARDIOVASCULAR CARE SCIENCE; CARDIOPULMONARY-RESUSCITATION; COMATOSE SURVIVORS; MEDICINE GUIDELINES; ADVISORY STATEMENT; MANAGEMENT; SOCIETY Multiple languages Critical Care Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69676