Targeted temperature management in the ICU: guidelines from a French expert panel
Abstract Over the recent period, the use of induced hypothermia has gained an increasing interest for critically ill patients, in particular in brain-injured patients. The term “targeted temperature management” (TTM) has now emerged as the most appropriate when referring to interventions used to rea...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2017-06-01
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| Series: | Annals of Intensive Care |
| Online Access: | http://link.springer.com/article/10.1186/s13613-017-0294-1 |
| _version_ | 1818975148263342080 |
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| author | Alain Cariou Jean-François Payen Karim Asehnoune Gerard Audibert Astrid Botte Olivier Brissaud Guillaume Debaty Sandrine Deltour Nicolas Deye Nicolas Engrand Gilles Francony Stéphane Legriel Bruno Levy Philippe Meyer Jean-Christophe Orban Sylvain Renolleau Bernard Vigue Laure De Saint Blanquat Cyrille Mathien Lionel Velly for the Société de Réanimation de Langue Française (SRLF) and the Société Française d’Anesthésie et de Réanimation (SFAR) In conjunction with the Association de Neuro Anesthésie Réanimation de Langue Française (ANARLF), the Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP), the Société Française de Médecine d’Urgence (SFMU), and the Société Française Neuro-Vasculaire (SFNV) |
| author_facet | Alain Cariou Jean-François Payen Karim Asehnoune Gerard Audibert Astrid Botte Olivier Brissaud Guillaume Debaty Sandrine Deltour Nicolas Deye Nicolas Engrand Gilles Francony Stéphane Legriel Bruno Levy Philippe Meyer Jean-Christophe Orban Sylvain Renolleau Bernard Vigue Laure De Saint Blanquat Cyrille Mathien Lionel Velly for the Société de Réanimation de Langue Française (SRLF) and the Société Française d’Anesthésie et de Réanimation (SFAR) In conjunction with the Association de Neuro Anesthésie Réanimation de Langue Française (ANARLF), the Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP), the Société Française de Médecine d’Urgence (SFMU), and the Société Française Neuro-Vasculaire (SFNV) |
| author_sort | Alain Cariou |
| collection | DOAJ |
| description | Abstract Over the recent period, the use of induced hypothermia has gained an increasing interest for critically ill patients, in particular in brain-injured patients. The term “targeted temperature management” (TTM) has now emerged as the most appropriate when referring to interventions used to reach and maintain a specific level temperature for each individual. TTM may be used to prevent fever, to maintain normothermia, or to lower core temperature. This treatment is widely used in intensive care units, mostly as a primary neuroprotective method. Indications are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of TTM in adult and paediatric critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de Réanimation de Langue Française [SRLF]) and the French Society of Anesthesia and Intensive Care Medicine (Société Francaise d’Anesthésie Réanimation [SFAR]) with the participation of the French Emergency Medicine Association (Société Française de Médecine d’Urgence [SFMU]), the French Group for Pediatric Intensive Care and Emergencies (Groupe Francophone de Réanimation et Urgences Pédiatriques [GFRUP]), the French National Association of Neuro-Anesthesiology and Critical Care (Association Nationale de Neuro-Anesthésie Réanimation Française [ANARLF]), and the French Neurovascular Society (Société Française Neurovasculaire [SFNV]). Fifteen experts and two coordinators agreed to consider questions concerning TTM and its practical implementation in five clinical situations: cardiac arrest, traumatic brain injury, stroke, other brain injuries, and shock. This resulted in 30 recommendations: 3 recommendations were strong (Grade 1), 13 were weak (Grade 2), and 14 were experts’ opinions. After two rounds of rating and various amendments, a strong agreement from voting participants was obtained for all 30 (100%) recommendations, which are exposed in the present article. |
| first_indexed | 2024-12-20T15:51:21Z |
| format | Article |
| id | doaj.art-b7831b5253d14f938546831d8b283ce4 |
| institution | Directory Open Access Journal |
| issn | 2110-5820 |
| language | English |
| last_indexed | 2024-12-20T15:51:21Z |
| publishDate | 2017-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Intensive Care |
| spelling | doaj.art-b7831b5253d14f938546831d8b283ce42022-12-21T19:34:40ZengSpringerOpenAnnals of Intensive Care2110-58202017-06-017111410.1186/s13613-017-0294-1Targeted temperature management in the ICU: guidelines from a French expert panelAlain Cariou0Jean-François Payen1Karim Asehnoune2Gerard Audibert3Astrid Botte4Olivier Brissaud5Guillaume Debaty6Sandrine Deltour7Nicolas Deye8Nicolas Engrand9Gilles Francony10Stéphane Legriel11Bruno Levy12Philippe Meyer13Jean-Christophe Orban14Sylvain Renolleau15Bernard Vigue16Laure De Saint Blanquat17Cyrille Mathien18Lionel Velly19for the Société de Réanimation de Langue Française (SRLF) and the Société Française d’Anesthésie et de Réanimation (SFAR) In conjunction with the Association de Neuro Anesthésie Réanimation de Langue Française (ANARLF), the Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP), the Société Française de Médecine d’Urgence (SFMU), and the Société Française Neuro-Vasculaire (SFNV)Medical Intensive Care Unit, Cochin University Hospital (APHP) & Paris Descartes UniversityPôle Anesthésie-Réanimation, Hôpital MichallonHôpitial Hôtel-Dieu, CHU de NantesCHU de NancyHôpital Jeanne de Flandre, CHRU de LilleCHU de BordeauxCHU de GrenobleHôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de ParisHôpital Lariboisiere, Assistance Publique-Hôpitaux de ParisFondation RothschildMedical Intensive Care Unit, Cochin University Hospital (APHP) & Paris Descartes UniversityCentre Hospitalier de VersaillesHôpital Central, CHU de NancyHôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de ParisHôpital Pasteur 2, CHU de NiceHôpital Armand-Trousseau, Assistance Publique-Hôpitaux de ParisAnesthésie-réanimationHôpital Necker-Enfants Malades, Réanimation Pédiatrique Polyvalente, Assistance Publique - Hôpitaux de ParisService de Réanimation médicale, CH MulhouseService d’Anesthésie-Réanimation, Hôpital de la Timone, Assistance Publique-Hôpitaux de MarseilleAbstract Over the recent period, the use of induced hypothermia has gained an increasing interest for critically ill patients, in particular in brain-injured patients. The term “targeted temperature management” (TTM) has now emerged as the most appropriate when referring to interventions used to reach and maintain a specific level temperature for each individual. TTM may be used to prevent fever, to maintain normothermia, or to lower core temperature. This treatment is widely used in intensive care units, mostly as a primary neuroprotective method. Indications are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of TTM in adult and paediatric critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de Réanimation de Langue Française [SRLF]) and the French Society of Anesthesia and Intensive Care Medicine (Société Francaise d’Anesthésie Réanimation [SFAR]) with the participation of the French Emergency Medicine Association (Société Française de Médecine d’Urgence [SFMU]), the French Group for Pediatric Intensive Care and Emergencies (Groupe Francophone de Réanimation et Urgences Pédiatriques [GFRUP]), the French National Association of Neuro-Anesthesiology and Critical Care (Association Nationale de Neuro-Anesthésie Réanimation Française [ANARLF]), and the French Neurovascular Society (Société Française Neurovasculaire [SFNV]). Fifteen experts and two coordinators agreed to consider questions concerning TTM and its practical implementation in five clinical situations: cardiac arrest, traumatic brain injury, stroke, other brain injuries, and shock. This resulted in 30 recommendations: 3 recommendations were strong (Grade 1), 13 were weak (Grade 2), and 14 were experts’ opinions. After two rounds of rating and various amendments, a strong agreement from voting participants was obtained for all 30 (100%) recommendations, which are exposed in the present article.http://link.springer.com/article/10.1186/s13613-017-0294-1 |
| spellingShingle | Alain Cariou Jean-François Payen Karim Asehnoune Gerard Audibert Astrid Botte Olivier Brissaud Guillaume Debaty Sandrine Deltour Nicolas Deye Nicolas Engrand Gilles Francony Stéphane Legriel Bruno Levy Philippe Meyer Jean-Christophe Orban Sylvain Renolleau Bernard Vigue Laure De Saint Blanquat Cyrille Mathien Lionel Velly for the Société de Réanimation de Langue Française (SRLF) and the Société Française d’Anesthésie et de Réanimation (SFAR) In conjunction with the Association de Neuro Anesthésie Réanimation de Langue Française (ANARLF), the Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP), the Société Française de Médecine d’Urgence (SFMU), and the Société Française Neuro-Vasculaire (SFNV) Targeted temperature management in the ICU: guidelines from a French expert panel Annals of Intensive Care |
| title | Targeted temperature management in the ICU: guidelines from a French expert panel |
| title_full | Targeted temperature management in the ICU: guidelines from a French expert panel |
| title_fullStr | Targeted temperature management in the ICU: guidelines from a French expert panel |
| title_full_unstemmed | Targeted temperature management in the ICU: guidelines from a French expert panel |
| title_short | Targeted temperature management in the ICU: guidelines from a French expert panel |
| title_sort | targeted temperature management in the icu guidelines from a french expert panel |
| url | http://link.springer.com/article/10.1186/s13613-017-0294-1 |
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