On October 16, 2017, the Neurocritical Care Society (NCS) released an evidence-based guideline: The Implementation of Targeted Temperature Management (TTM) (hereinafter referred to as the 2017 NCS guideline). Based on population-intervention-comparison-outcome (PICO) frame, the editorial committee for this guide line has addressed and discussed 16 clinical problems related to the 3 aspects of implementation of TTM in neurocritical care practice, including TTM’s induction and maintenance, shivering and complications. The 2017 NCS guideline is designed to assist the clinicians in neurocritical care who use TTM to carry out TTM better. Based on the interpretation of the 2017 NCS guideline, the similarities and differences in TTM application among the 2017 NCS guideline, 2017 guidelines for TTM in the intensive care unit (ICU) from France, 2015 guidelines for the use of TTM (therapeutic hypothermia) after cardiac arrest from Canada, 2016 China expert consensus on TTM after cardiac arrest and 2015 China expert consensus on hypothermia in neurocritical care are analyzed and compared, in order to help clinicians better understand the TTM application in neurocritical care.
Key words
Neurocritical care /
Targeted temperature management /
Shivering /
Metabolism /
Complications /
Guideline /
Neurocritical Care Society
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References
[1] MADDEN LK, HILL M, MAY TL, et al. The implementation of targeted temperature management: an evidence-based guideline from the Neurocritical Care Society[J]. Neurocrit Care, 2017, 27(3):468-487.
[2] CARIOU A, PAYEN JF, ASEHNOUNE K, et al. Targeted temperature management in the ICU: guidelines from a French expert panel[J/OL]. Ann Intensive Care, 2017, 7(1):70(2017-06-19)[2017-11-21]. https://doi.org/10.1186/s13613-017-0294-1.
[3] HOWES D, GRAY SH, BROOKS SC, et al. Canadian Guidelines for the use of targeted temperature management (therapeutic hypothermia) after cardiac arrest: A joint statement from The Canadian Critical Care Society (CCCS), Canadian Neurocritical Care Society (CNCCS), and the Canadian Critical Care Trials Group (CCCTG). Resuscitation, 2015, 98:48-63.
[4] 心脏骤停后目标温度管理共识专家组. 心脏骤停后目标温度管理专家共识[J]. 中华急诊医学杂志, 2016, 25(8):1000-1006.
[5] 中华医学会神经病学分会神经重症协作组. 神经重症低温治疗中国专家共识[J]. 中华神经科杂志, 2015, 48(6):453-458.
Funding
Pudong New District Health and Family Planning Commission Research Project of Priority Disciplinary Field of Neurology of Integrated Traditional Chinese Medicine and Western Medicine (No. PWZxk2017-04); Talents Training Program of Shanghai Seventh People’s Hospital (No. MZY2017-01)
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