Evidence map›Paper›PMID 38769582›Full record

ArticleCritical care (London, England)2024

Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations.

Andrea Lavinio, Jonathan P Coles, Chiara Robba, Marcel Aries, Pierre Bouzat, Dara Chean, Shirin Frisvold, Laura Galarza, Raimund Helbok, Jeroen Hermanides and 11 more

Abstract readConsensus Statement
In one paragraph

Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Nanozyme-based therapeutic strategies for traumatic brain injury.International journal of pharmaceutics: X · 2026
    Review
  6. Article
  7. Temperature control in acute brain injury.Intensive care medicine · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Traumatic brain injury in obstetric patients: challenges and management strategiesRevista colombiana de obstetricia y ginecologia · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Update on traumatic brain injury in the ICU.Current opinion in anaesthesiology · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

21 authors.

Andrea LavinioDepartment of Medicine, BOX 1 Addenbrooke's Hospital, University of Cambridge, Long Road, Cambridge, CB2 0QQ, UK. andrea.lavinio1@nhs.net.
Jonathan P ColesDepartment of Medicine, BOX 1 Addenbrooke's Hospital, University of Cambridge, Long Road, Cambridge, CB2 0QQ, UK.
Chiara RobbaIRCCS Policlinico San Martino, Genoa, Italy.
Marcel AriesDepartment of Intensive Care, Maastricht University Medical Center+, Maastricht, The Netherlands.
Pierre BouzatInserm U1216, Department of Anesthesia and Critical Care, CHU Grenoble Alpes, Grenoble Institute Neurosciences, Université Grenoble Alpes, 38000, Grenoble, France.
Dara CheanMedical Intensive Care Unit, Saint-Louis Teaching Hospital, Paris, France.
Shirin FrisvoldDepartment of Anaesthesia and Intensive Care, University Hospital of North Norway, Tromsö, Norway.
Laura GalarzaDepartment of Intensive Care, Hospital General Universitario de Castellón, Castellón de la Plana, Spain.
Raimund HelbokDepartment of Neurology, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Jeroen HermanidesDepartment of Anaesthesiology, Amsterdam UMC, Amsterdam, The Netherlands.
Mathieu van der JagtDepartment of Intensive Care Adults, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
David K MenonDepartment of Medicine, BOX 1 Addenbrooke's Hospital, University of Cambridge, Long Road, Cambridge, CB2 0QQ, UK.
Geert MeyfroidtDepartment and Laboratory of Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium.
Jean-Francois PayenInserm U1216, Department of Anesthesia and Critical Care, CHU Grenoble Alpes, Grenoble Institute Neurosciences, Université Grenoble Alpes, 38000, Grenoble, France.
Daniele PooleAnesthesia and Intensive Care Operative Unit, S. Martino Hospital, Belluno, Italy.
Frank RasuloSpedali Civili University Hospital of Brescia, Brescia, Italy.
Jonathan RhodesDepartment of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, University of Edinburgh, Edinburgh, UK.
Emily SidlowPage and Page Healthcare Communications, London, UK.
Luzius A SteinerUniversity Hospital Basel, Department of Clinical Research, University of Basel, Basel, Switzerland.
Fabio Silvio TacconeDepartment of Intensive Care, Brussels University Hospital, Brussels, Belgium.
Riikka TakalaPerioperative Services, Intensive Care Medicine and Pain Management, Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims and scopeThe aim of this panel was to develop consensus recommendations on targeted temperature control (TTC) in patients with severe traumatic brain injury (TBI) and in patients with moderate TBI who deteriorate and require admission to the intensive care unit for intracranial pressure (ICP) management.

methodsA group of 18 international neuro-intensive care experts in the acute management of TBI participated in a modified Delphi process. An online anonymised survey based on a systematic literature review was completed ahead of the meeting, before the group convened to explore the level of consensus on TTC following TBI. Outputs from the meeting were combined into a further anonymous online survey round to finalise recommendations. Thresholds of ≥ 16 out of 18 panel members in agreement (≥ 88%) for strong consensus and ≥ 14 out of 18 (≥ 78%) for moderate consensus were prospectively set for all statements.

resultsStrong consensus was reached on TTC being essential for high-quality TBI care. It was recommended that temperature should be monitored continuously, and that fever should be promptly identified and managed in patients perceived to be at risk of secondary brain injury. Controlled normothermia (36.0-37.5 °C) was strongly recommended as a therapeutic option to be considered in tier 1 and 2 of the Seattle International Severe Traumatic Brain Injury Consensus Conference ICP management protocol. Temperature control targets should be individualised based on the perceived risk of secondary brain injury and fever aetiology.

conclusionsBased on a modified Delphi expert consensus process, this report aims to inform on best practices for TTC delivery for patients following TBI, and to highlight areas of need for further research to improve clinical guidelines in this setting.

Indexed as

Brain Injuries, TraumaticDelphi TechniqueHypothermia, InducedHumansIntensive Care UnitsIntracranial PressureSurveys and QuestionnairesSystematic Reviews as TopicFeverIntracranial pressureNormothermiaTargeted temperature controlTraumatic brain injury

Identifiers

PMID38769582
PMCPMC11107011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.