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Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines.

Publication ,  Journal Article
Leary, M; Blewer, AL; Delfin, G; Abella, BS
Published in: Ther Hypothermia Temp Manag
December 2015

In 2002 postarrest care was significantly altered when multiple randomized controlled trials found that therapeutic hypothermia at a goal temperature of 32-34°C significantly improved survival and neurologic outcomes. In 2013, targeted temperature management (TTM) was reexamined via a randomized controlled trial between 33°C and 36°C in post-cardiac arrest patients and found similar outcomes in both cohorts. Before the release of the 2015 American Heart Association (AHA) Guidelines, our group found that across hospitals in the United States, and even within the same institution, TTM protocol variability existed. After the 2013 TTM trial, it was anticipated that the 2015 Guidelines would clarify which target temperature should be used during postarrest care. The AHA released their updates for post-cardiac arrest TTM recently and, based on the literature available, have recommended the use of TTM at a goal temperature between 32°C and 36°C. Whether this variability has an effect on TTM implementation or patient outcomes is unknown.

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Published In

Ther Hypothermia Temp Manag

DOI

EISSN

2153-7933

Publication Date

December 2015

Volume

5

Issue

4

Start / End Page

184 / 187

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Resuscitation
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Hypothermia, Induced
  • Humans
  • Heart Arrest
  • Guideline Adherence
  • Body Temperature Regulation
 

Citation

APA
Chicago
ICMJE
MLA
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Leary, M., Blewer, A. L., Delfin, G., & Abella, B. S. (2015). Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines. Ther Hypothermia Temp Manag, 5(4), 184–187. https://doi.org/10.1089/ther.2015.0027
Leary, Marion, Audrey L. Blewer, Gail Delfin, and Benjamin S. Abella. “Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines.Ther Hypothermia Temp Manag 5, no. 4 (December 2015): 184–87. https://doi.org/10.1089/ther.2015.0027.
Leary M, Blewer AL, Delfin G, Abella BS. Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines. Ther Hypothermia Temp Manag. 2015 Dec;5(4):184–7.
Leary, Marion, et al. “Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines.Ther Hypothermia Temp Manag, vol. 5, no. 4, Dec. 2015, pp. 184–87. Pubmed, doi:10.1089/ther.2015.0027.
Leary M, Blewer AL, Delfin G, Abella BS. Variability in Postarrest Targeted Temperature Management Practice: Implications of the 2015 Guidelines. Ther Hypothermia Temp Manag. 2015 Dec;5(4):184–187.
Journal cover image

Published In

Ther Hypothermia Temp Manag

DOI

EISSN

2153-7933

Publication Date

December 2015

Volume

5

Issue

4

Start / End Page

184 / 187

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Resuscitation
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Hypothermia, Induced
  • Humans
  • Heart Arrest
  • Guideline Adherence
  • Body Temperature Regulation