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Cariou A, Payen JF, Asehnoune K, et al. Targeted temperature management in the ICU: guidelines from a French expert panel. Ann Intensive Care. 2017;7(1):70doi: 10.1186/s13613-017-0294-1.
Cariou, A., Payen, J. F., Asehnoune, K., Audibert, G., Botte, A., Brissaud, O., Debaty, G., Deltour, S., Deye, N., Engrand, N., Francony, G., Legriel, S., Levy, B., Meyer, P., Orban, J. C., Renolleau, S., Vigue, B., De Saint Blanquat, L., Mathien, C., Velly, L. (2017). Targeted temperature management in the ICU: guidelines from a French expert panel. Annals of intensive care, 7(1), 70. https://doi.org/10.1186/s13613-017-0294-1
Cariou, Alain, et al. "Targeted temperature management in the ICU: guidelines from a French expert panel." Annals of intensive care vol. 7,1 (2017): 70. doi: https://doi.org/10.1186/s13613-017-0294-1
Cariou A, Payen JF, Asehnoune K, Audibert G, Botte A, Brissaud O, Debaty G, Deltour S, Deye N, Engrand N, Francony G, Legriel S, Levy B, Meyer P, Orban JC, Renolleau S, Vigue B, De Saint Blanquat L, Mathien C, Velly L. Targeted temperature management in the ICU: guidelines from a French expert panel. Ann Intensive Care. 2017 Dec;7(1):70. doi: 10.1186/s13613-017-0294-1. Epub 2017 Jun 19. PMID: 28631089; PMCID: PMC5476556.
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Ann Intensive Care. 2017 Dec;7(1):70. doi: 10.1186/s13613-017-0294-1. Epub 2017 Jun 19.

Targeted temperature management in the ICU: guidelines from a French expert panel.

Annals of intensive care

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,

Affiliations

  1. Medical Intensive Care Unit, Cochin University Hospital (APHP) & Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France. [email protected].
  2. Pôle Anesthésie-Réanimation, Hôpital Michallon, CHU Grenoble Alpes, 38000, Grenoble, France.
  3. Hôpitial Hôtel-Dieu, CHU de Nantes, Nantes, France.
  4. CHU de Nancy, Nancy, France.
  5. Hôpital Jeanne de Flandre, CHRU de Lille, Lille, France.
  6. CHU de Bordeaux, Bordeaux, France.
  7. CHU de Grenoble, La Tronche, France.
  8. Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
  9. Hôpital Lariboisiere, Assistance Publique-Hôpitaux de Paris, Paris, France.
  10. Fondation Rothschild, Paris, France.
  11. Medical Intensive Care Unit, Cochin University Hospital (APHP) & Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
  12. Centre Hospitalier de Versailles, Le Chesnay, France.
  13. Hôpital Central, CHU de Nancy, Nancy, France.
  14. Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France.
  15. Hôpital Pasteur 2, CHU de Nice, Nice, France.
  16. Hôpital Armand-Trousseau, Assistance Publique-Hôpitaux de Paris, Paris, France.
  17. Anesthésie-réanimation, Bicêtre, France.
  18. Hôpital Necker-Enfants Malades, Réanimation Pédiatrique Polyvalente, Assistance Publique - Hôpitaux de Paris, Paris, France.
  19. Service de Réanimation médicale, CH Mulhouse, Mulhouse, France.
  20. Service d'Anesthésie-Réanimation, Hôpital de la Timone, Assistance Publique-Hôpitaux de Marseille, Marseille, France.

PMID: 28631089 PMCID: PMC5476556 DOI: 10.1186/s13613-017-0294-1

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.

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