Summary of best evidence for targeted body temperature management in patients with severe neurological illness
10.3760/cma.j.cn115354-20240807-00460
- VernacularTitle:神经重症患者目标体温管理的最佳实践证据总结
- Author:
Ying DENG
1
;
Bingqing CHEN
;
Fenxia PEI
;
Ting PAN
;
Jinpeng TU
;
Xingguo WANG
;
Sujuan LIANG
Author Information
1. 南方医科大学珠江医院神经创伤重症科，国家临床重点专科，脑血管病诊断与治疗教育部工程研究中心，广东省普通高校脑功能修复与再生重点实验室，广东神经外科研究所，广州 510282
- Keywords:
Neurological severe disease;
Target body temperature;
Mild hypothermia therapy;
Evidence summary
- From:
Chinese Journal of Neuromedicine
2024;23(10):1028-1034
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate the best practice evidence for targeted temperature management in neurocritically ill patients.Methods:PIPOST tool was used to identify evidence-based issues; the Chinese and English terms were chosen as "Traumatic brain injuries", "Craniocerebral trauma/Cerebral hemorrhage/Stroke/Subarachnoid hemorrhage/Cerebral vascular disease", and "Mild hypothermia therapy/Target body temperature/Cyotherapy". According to top-down design of the "6S" evidence model, databases such as French guideline network, US guideline network, UpToDate, Chinese Biomedical Literature Database, China Yimaitong Guide network, CNKI, and Wanfang Medical Network were searched. Two researchers independently evaluated the quality of the included literature, and extracted and summarized the evidences of the literature that met the quality standards.Results:A total of 10 articles were included, including 1 clinical decision, 4 guidelines, 1 evidence summary, and 4 expert consensuses. Finally, 27 pieces of best evidences were summarized, including 6 aspects as evaluation, preparation before implementation, targeted body temperature selection, intervention duration, chill management, and other complication prevention.Conclusion:Best evidence for temperature management in neurocritically ill patients can provide evidence-based evidence for healthcare professionals.
