Targeted Temperature Management; Review of Literature and Guidelines; A Cardiologist's Perspective

Taimoor Hashim; Ranjith Shetty

doi:10.2174/1573403X14666180507154849

Targeted Temperature Management; Review of Literature and Guidelines; A Cardiologist's Perspective

Curr Cardiol Rev. 2018;14(2):97-101. doi: 10.2174/1573403X14666180507154849.

Authors

Taimoor Hashim¹, Ranjith Shetty¹

Affiliation

¹ University of Arizona at Tucson, Department of Cardiovascular Disease, Tucson, Arizona, AZ, United States.

Abstract

Background: Out of Hospital Cardiac Arrest (OHCA) remains not an uncommon occurrence in USA and the rest of the world. However, the survival to discharge following an episode of OHCA in adults is still very disappointing at around 10%. Several areas of improvement including education of general public in early Cardio Pulmonary Resuscitation (CPR) by bystander, chest compression first, and improvement of Emergency Medical response time have had a positive effect on the outcomes and survival but still much needs to be done. Recently, new data has emerged with regards to post resuscitation care and mild induced hypothermia (now preferably called; Targeted Temperature Management {TTM}) and several advances have been made.

Conclusion: The purpose of this review is to summarize and compare the most recent guidelines and also provide a practical approach to TTM especially with regards to the field of cardiology.

Keywords: Out of hospital cardiac arrest; cardio pulmonary resuscitation; emergency medical response; post resuscitation care; targeted temperature management..

Publication types

Review

MeSH terms

Cardiologists / standards*
Cardiopulmonary Resuscitation / methods*
Female
Health Planning Guidelines
Humans
Hypothermia, Induced / methods*
Male
Out-of-Hospital Cardiac Arrest / therapy*