Diretrizes ERC-ESICM sobre controle de temperatura após parada cardíaca em adultos.

ERC-ESICM guidelines on temperature control after cardiac arrest in adults – Intensive Care Medicine (se o acesso a este link for pago, tente este)

Conteúdos relacionados:

M-A: In comatose survivors of cardiac arrest, targeted hypothermia is not associated with improved survival or better neurological outcomes vs. targeted normothermia.

RCT: In comatose survivors of out-of-hospital cardiac arrest, there was no difference in mortality and neurologic outcomes with mild (target temperature of 34 °C) vs. moderate therapeutic hypothermia (target temperature of 31 °C).

M-A: Targeted temperature management following out-of-hospital cardiac arrest – “Routine use of moderate or deep hypothermia in comatose survivors of OHCA may potentially be associated with more harm than benefit”.

RCT: In patients with coma after out-of-hospital cardiac arrest, targeted hypothermia did not improve outcomes.

Comentário no Twitter

Temperature control post ROSC @ERC_resus @ESICM guidelines:
🌡 monitor (core T) + prevent fever (min 72h)
❄️ insufficient evidence for/against 32-36°C or early cooling
Not recommended
🌡 active rewarming (mild hypothermia)
🚑 pre 🏥 cooling (cold fluids)https://t.co/w6X8fLInzf pic.twitter.com/U8TWG1oUyV

— Intensive Care Medicine (@yourICM) January 28, 2022