Table 1 ILCOR Recommendations on temperature control after cardiac arrest. From [36]
We suggest actively preventing fever by targeting a temperature of 37.5 °C or less for patients who remain comatose after ROSC from cardiac arrest (weak recommendation, low certainty of evidence) |
|---|
Whether subpopulations of cardiac arrest patients may benefit from targeting hypothermia at 32–34 °C remains uncertain |
Comatose patients with mild hypothermia after ROSC should not be actively warmed to achieve normothermia (good practice statement) |
We recommend against the routine use of prehospital cooling with rapid infusion of large volumes of cold IV fluid immediately after ROSC (strong recommendation, moderate certainty of evidence) |
We suggest surface or endovascular temperature control techniques when temperature control is used in comatose patients after ROSC (weak recommendation, low certainty of evidence) |
When a cooling device is used, we suggest using a temperature control device that includes a feedback system based on continuous temperature monitoring to maintain the target temperature (good practice statement) |
We suggest active prevention of fever for at least 72Â h in post-cardiac arrest patients who remain comatose (good practice statement) |