Evidence summary for targeted temperature management in brain injury patients with ICU
10.3761/j.issn.0254-1769.2023.21.014
- VernacularTitle:ICU脑损伤患者目标体温管理的最佳证据总结
- Author:
Tiantian GAI
1
;
Zimeng LI
;
Yu CUI
;
Ruonan HOU
;
Ludan XU
;
Yin HE
Author Information
1. 100176 北京市 首都医科大学附属北京同仁医院重症医学科
- Keywords:
Intensive Care Units;
Brain Injury Patients;
Targeted Temperature Management;
Evidence Summary;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2023;58(21):2653-2661
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate and summarize the evidence related to targeted temperature management in brain injury patients with ICU for health care workers and decision makers.Methods We systematically searched from the guideline websites,domestic and foreign databases and association official websites to collect the literature including guidelines,expert consensuses,clinic decision-making,evidence summaries and systematic reviews,according to the 6s evidence model.The search time limit was from January 2012 to April,2023.Evidence was extracted after the quality evaluation of the literature was conducted by evidence-based researchers.Results A total of 19 articles were incorporated,including 6 guidelines,3 clinic decision-making,5 expert consensuses,4 systematic reviews and 1 evidence summary.Finally,25 pieces of best evidence were formed from 10 aspects,temperature range,starting time,body temperature monitoring,pipeline management,analgesia and sedation management,mechanical ventilation and oxygenation management,hemodynamic support,nutrition management,condition monitoring and prognosis evaluation.Conclusion The best evidence for management of targeted temperature in brain injury patients with ICU in this study is scientific and comprehensive,providing the evidence-based basis for medical staff to standardized management of targeted temperature in critically ill patients in clinical practice.
