The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units
|dc.identifier.citation||Bray, J. and Cartledge, S. and Finn, J. and Eastwood, G. and McKenzie, N. and Stub, D. and Straney, L. et al. 2020. The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units. Resuscitation Plus. 1-2: Article No. 100002.|
Aim: Targeted temperature management (TTM) in post-resuscitation care has changed dramatically over the last two decades. However, uptake across Australian and New Zealand (NZ) intensive care units (ICUs) is unclear. We aimed to describe post-resuscitation care in our region, with a focus on TTM, and to gain insights into clinician’s opinions about the level of evidence supporting TTM.
Methods: In December 2017, we sent an online survey to 163 ICU medical directors in Australia (n = 141) and NZ (n = 22).
Results: Sixty-one ICU medical directors responded (50 from Australia and 11 from NZ). Two respondents were excluded from analysis as their Private ICUs did not admit post-arrest patients. The majority of remaining respondents stated their ICU followed a post-resuscitation care clinical guideline (n = 41/59, 70%). TTM was used in 57 (of 59, 97%) ICUs, of these only 64% had a specific TTM clinical guideline/policy and there was variation in the types of patients treated, temperatures targeted (range = 33–37.5 °C), methods for cooling and duration of cooling (range = 12–72 h). The majority of respondents stated that their ICU (n = 45/57, 88%) changed TTM practice following the TTM trial: with 28% targeting temperatures >36 °C, and 23 (of 46, 50%) respondents expressed concerns with current level of evidence for TTM. Only 38% of post-resuscitation guidelines included prognostication procedures, few ICUs reported the use of electrophysiological tests.
Conclusions: In Australian and New Zealand ICUs there is widespread variation in post-resuscitation care, including TTM practice and prognostication. There also seems to be concerns with current TTM evidence and recommendations.
|dc.title||The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units|
© 2020 The Author(s). Published by Elsevier B.V.
|curtin.department||School of Nursing, Midwifery and Paramedicine|
|curtin.faculty||Faculty of Health Sciences|
|curtin.contributor.orcid||Finn, Judith [0000-0002-7307-7944]|
|curtin.contributor.orcid||Bray, Janet [0000-0002-1559-5882]|
|curtin.contributor.researcherid||Finn, Judith [B-2678-2010]|
|curtin.contributor.scopusauthorid||Finn, Judith  |