Nolan, Jerry P., Sandroni, Claudio, Andersen, Lars W., Boettiger, 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. Resuscitation, 172. S. 229 - 237. CLARE: ELSEVIER IRELAND LTD. ISSN 1873-1570

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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 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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Nolan, Jerry P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sandroni, ClaudioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andersen, Lars W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boettiger, Bernd W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cariou, AlainUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cronberg, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friberg, HansUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Genbrugge, CorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lilja, GiselaUNSPECIFIEDorcid.org/0000-0003-1860-1456UNSPECIFIED
Morley, Peter T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nikolaou, NikolaosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Olasveengen, Theresa M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Skrifvars, Markus B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Taccone, Fabio S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Soar, JasmeetUNSPECIFIEDorcid.org/0000-0001-5970-6073UNSPECIFIED
URN: urn:nbn:de:hbz:38-697019
DOI: 10.1016/j.resuscitation.2022.01.009
Journal or Publication Title: Resuscitation
Volume: 172
Page Range: S. 229 - 237
Date: 2022
Publisher: ELSEVIER IRELAND LTD
Place of Publication: CLARE
ISSN: 1873-1570
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
EUROPEAN RESUSCITATION COUNCIL; MILD THERAPEUTIC HYPOTHERMIA; COMATOSE SURVIVORS; CARDIOPULMONARY-RESUSCITATION; ADVISORY STATEMENT; MANAGEMENT; SOCIETY; MORTALITY; CONSENSUSMultiple languages
Critical Care Medicine; Emergency MedicineMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69701

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