Neuroanesthesia & neurocritical care
Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations
Methodological detailsmodified Delphi process, systematic literature review, anonymised online surveys, Strong consensus threshold ≥ 16 of 18 (≥ 88%); moderate consensus ≥ 14 of 18 (≥ 78%), prospectively set
- Modified Delphi process
- Systematic literature review
- Anonymised online surveys
- Strong consensus threshold ≥ 16 of 18 (≥ 88%); moderate consensus ≥ 14 of 18 (≥ 78%), prospectively set
Recommendations
As issued by the authors
- Strong consensus
Targeted temperature control (TTC) is essential for high-quality traumatic brain injury (TBI) care
Temperature should be monitored continuously; fever should be promptly identified and managed in patients perceived at risk of secondary brain injury
- Strongly recommended
Controlled normothermia (36.0-37.5 °C) as a therapeutic option to be considered in tier 1 and 2 of the Seattle International Severe TBI Consensus Conference intracranial pressure (ICP) management protocol
Temperature control targets should be individualised based on the perceived risk of secondary brain injury and fever aetiology
Original publication
Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations. Crit Care. Published 20 May 2024. doi:10.
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