102 research outputs found
ERC-ESICM guidelines on temperature control after cardiac arrest in adults
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.Peer reviewe
A Time to Act - Anaesthesiologists in resuscitation help save 200,000 lives per year worldwide School children, lay resuscitation, telephone-CPR, IOM and more
ERC Research NET-The network for sudden cardiac arrest and resuscitation research in Europe
The new European Resuscitation Council guidelines on cardiopulmonary resuscitation and post-resuscitation care: great opportunities for anaesthesiologists: Focus on lay people, hospitals and prognostication
Reply to: European resuscitation council should have gone further to promote cardiopulmonary resuscitation awareness
The message is clear to save an additional 100 000 lives per year in Europe: 'harder and faster for cardiopulmonary resuscitation'!
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