ICU SAQs · Arrhythmia & cardiac arrest
Targeted temperature management after cardiac arrest
A CICM Second-Part SAQ on TTM — the TTM trial (Nielsen NEJM 2013, no difference between 33 and 36 degrees), the principle that the fever avoidance is the key, and the practice of 32 to 36 degrees for the comatose post-arrest patient.
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Prompt
Critically appraise the role of targeted temperature management (TTM) after the cardiac arrest. What does the evidence show, and what is the current practice?
Question
Critically appraise the role of targeted temperature management (TTM) after the cardiac arrest. What does the evidence show, and what is the current practice?[1]
[1]References2ShowHide
- [1]Nielsen N, Wetterslev J, Cronberg T, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. New England Journal of Medicine, 2013.PMID 24237006
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.