The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units
dc.contributor.author | Bray, Janet | |
dc.contributor.author | Cartledge, Susie | |
dc.contributor.author | Finn, Judith | |
dc.contributor.author | Eastwood, Glenn | |
dc.contributor.author | McKenzie, Nicole | |
dc.contributor.author | Stub, Dion | |
dc.contributor.author | Straney, Lahn | |
dc.contributor.author | Bernard, Stephen | |
dc.date.accessioned | 2020-08-03T04:39:31Z | |
dc.date.available | 2020-08-03T04:39:31Z | |
dc.date.issued | 2020 | |
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. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/80339 | |
dc.identifier.doi | 10.1016/j.resplu.2020.100002 | |
dc.description.abstract |
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.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units | |
dc.type | Journal Article | |
dcterms.source.volume | 1-2 | |
dcterms.source.title | Resuscitation Plus | |
dc.date.updated | 2020-08-03T04:39:30Z | |
curtin.note |
© 2020 The Author(s). Published by Elsevier B.V. | |
curtin.department | School of Nursing, Midwifery and Paramedicine | |
curtin.accessStatus | Open access | |
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.identifier.article-number | 100002 | |
curtin.contributor.scopusauthorid | Finn, Judith [57200768752] [7202432925] |