Evidence map›Paper›PMID 35089409›Full record

ArticleIntensive care medicine2022

ERC-ESICM guidelines on temperature control after cardiac arrest in adults.

Claudio Sandroni, Jerry P Nolan, Lars W Andersen, Bernd W Böttiger, Alain Cariou, Tobias Cronberg, Hans Friberg, Cornelia Genbrugge, Gisela Lilja, Peter T Morley and 5 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07028372 (Long Term Follow-up of Cardiac Arrest Survivors Exposed to Ultra-rapid Cooling, a Prospective Non-interventional Cohort), which is not on this map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07028372 recruitingnot on this mapstarted 2025, after this paper: background citation

Long Term Follow-up of Cardiac Arrest Survivors Exposed to Ultra-rapid Cooling, a Prospective Non-interventional Cohort

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2031Enrolled12ConditionsCardiac Arrest (CA), Resuscitated Sudden Cardiac Death, Post Cardiac Arrest Patient Who Was Treated by Hypothermia ProtocolArmsShort Form Health Survey (SF-36), Modified Rankin Score (mRS), Activity of Daily Living (ADL) questionnaire, New York Heart Association (NYHA) Classification, St George's Respiratory Questionnaire (SGRQ)
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Hypothermia for neuroprotection in adults after cardiac arrest.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Temperature control after cardiac arrest.Critical care (London, England) · 2022
    Pooled it
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  16. Editorial: Advances in neurocritical care.Frontiers in medicine · 2026
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Claudio Sandroni *Department of Intensive Care, Emergency Medicine and Anaesthesiology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy. claudio.sandroni@policlinicogemelli.it.ORCID http://orcid.org/0000-0002-8878-2611
Jerry P Nolan *Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Lars W AndersenDepartment of Anesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark.
Bernd W BöttigerDepartment of Anaesthesiology and Intensive Care Medicine, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Alain CariouMedical School, Cochin University Hospital (APHP), University of Paris, Paris, France.
Tobias CronbergDepartment of Clinical Sciences, Neurology, Lund University, Skane University Hospital, Lund, Sweden.
Hans FribergDepartment of Clinical Sciences, Anaesthesia and Intensive Care Medicine, Lund University, Skane University Hospital, Malmö, Sweden.
Cornelia GenbruggeAcute Medicine Research Pole, Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain, Brussels, Belgium.
Gisela LiljaDepartment of Clinical Sciences, Neurology, Lund University, Skane University Hospital, Lund, Sweden.
Peter T MorleyUniversity of Melbourne, Royal Melbourne Hospital, Melbourne, Australia.
Nikolaos NikolaouCardiology Department, Konstantopouleio General Hospital, Athens, Greece.
Theresa M OlasveengenDepartment of Anesthesiology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Markus B SkrifvarsDepartment of Emergency Care and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Fabio S TacconeDepartment of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Jasmeet SoarSouthmead Hospital, North Bristol NHS Trust, Bristol, BS10 5NB, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of these guidelines is to provide evidence‑based guidance for temperature control in adults who are comatose after resuscitation from either in-hospital or out-of-hospital cardiac arrest, regardless of the underlying cardiac rhythm. These guidelines replace the recommendations on temperature management after cardiac arrest included in the 2021 post-resuscitation care guidelines co-issued by the European Resuscitation Council (ERC) and the European Society of Intensive Care Medicine (ESICM). The guideline panel included thirteen international clinical experts who authored the 2021 ERC-ESICM guidelines and two methodologists who participated in the evidence review completed on behalf of the International Liaison Committee on Resuscitation (ILCOR) of whom ERC is a member society. We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and grade recommendations. The panel provided suggestions on guideline implementation and identified priorities for future research. The certainty of evidence ranged from moderate to low. In patients who remain comatose after cardiac arrest, we recommend continuous monitoring of core temperature and actively preventing fever (defined as a temperature > 37.7 °C) for at least 72 h. There was insufficient evidence to recommend for or against temperature control at 32-36 °C or early cooling after cardiac arrest. We recommend not actively rewarming comatose patients with mild hypothermia after return of spontaneous circulation (ROSC) to achieve normothermia. We recommend not using prehospital cooling with rapid infusion of large volumes of cold intravenous fluids immediately after ROSC.

Indexed as

Cardiopulmonary ResuscitationHypothermia, InducedOut-of-Hospital Cardiac ArrestAdultCritical CareHumansTemperatureCardiac arrestComaHypothermiaPractice guidelinesPrognosis

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.