Targeted Temperature Management for Improved Outcomes: Are We There Yet?

Critical Care Nursing Quarterly
Micaela Carwell

Abstract

Therapeutic hypothermia, also referred to as targeted temperature management, has been a component of the postcardiac arrest treatment guidelines since 2010. Although almost a decade has passed since its inclusion in the postarrest guidelines, many unanswered questions remain regarding selection of the appropriate patient population, optimal target temperature, ideal window of time in which to initiate therapy after arrest, most efficient, safe, and accurate equipment choice for inducing and maintaining hypothermia, most effective duration of treatment, and rate of cooling or rewarming. On a national and international level, critical care nurses are in a unique position to participate in research that will define targeted temperature management protocols and practices. Nurses are also ideal for standardizing the targeted temperature management policy and protocol locally and nationally based on current available evidence. This review aims to serve 2 purposes: first, to provide a broad update on the current clarifications and limitations per research findings on target temperature management therapy; second, to explain how critical care nurses can use this updated information to improve outcomes for their patients with cardiac a...Continue Reading

References

Feb 22, 2002·The New England Journal of Medicine·UNKNOWN Hypothermia after Cardiac Arrest Study Group
Feb 22, 2002·The New England Journal of Medicine·Stephen A BernardKaren Smith
Nov 17, 2012·Resuscitation·Marion LearyBenjamin S Abella
Nov 19, 2013·The New England Journal of Medicine·Niklas NielsenUNKNOWN TTM Trial Investigators
Oct 5, 2014·Annals of Cardiac Anaesthesia·Abdullah Alshimemeri
Dec 19, 2014·Circulation·Dariush MozaffarianUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Charudatt VaityMaurizio Cecconi
Dec 3, 2016·Therapeutic Hypothermia and Temperature Management·Robert B SchockFritz Sterz

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Citations

Oct 2, 2021·Critical Care Nurse·Melissa MoredaMalissa A Mulkey

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