The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units
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, a...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Published: |
2020
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| Online Access: | http://hdl.handle.net/20.500.11937/80339 |
| _version_ | 1848764201957326848 |
|---|---|
| author | Bray, Janet Cartledge, Susie Finn, Judith Eastwood, Glenn McKenzie, Nicole Stub, Dion Straney, Lahn Bernard, Stephen |
| author_facet | Bray, Janet Cartledge, Susie Finn, Judith Eastwood, Glenn McKenzie, Nicole Stub, Dion Straney, Lahn Bernard, Stephen |
| author_sort | Bray, Janet |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:15:36Z |
| format | Journal Article |
| id | curtin-20.500.11937-80339 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:15:36Z |
| publishDate | 2020 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-803392020-08-21T03:08:41Z The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units Bray, Janet Cartledge, Susie Finn, Judith Eastwood, Glenn McKenzie, Nicole Stub, Dion Straney, Lahn Bernard, Stephen 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. 2020 Journal Article http://hdl.handle.net/20.500.11937/80339 10.1016/j.resplu.2020.100002 https://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Bray, Janet Cartledge, Susie Finn, Judith Eastwood, Glenn McKenzie, Nicole Stub, Dion Straney, Lahn Bernard, Stephen The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title_full | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title_fullStr | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title_full_unstemmed | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title_short | The current temperature: A survey of post-resuscitation care across Australian and New Zealand intensive care units |
| title_sort | current temperature: a survey of post-resuscitation care across australian and new zealand intensive care units |
| url | http://hdl.handle.net/20.500.11937/80339 |