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Targeted temperature management to minimise secondary brain injury after cardiac arrest: A systematic review

2025Artigo científico Acesso aberto
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dc.contributor.authorSeixas, Joana Costa
dc.contributor.authorOliveira, Mariana
dc.contributor.authorMonteiro, Mariana
dc.contributor.authorPinto, Maria do Rosário
dc.contributor.authorDurão, Cândida
dc.contributor.authorTeixeira, Gisela
dc.contributor.authorHenriques, Helga Rafael
dc.contributor.authorTeixeira, Joana Ferreira
dc.date.accessioned2026-03-30T13:58:16Z
dc.date.available2026-03-30T13:58:16Z
dc.date.issued2025
dc.description.abstractBackground: A patient recovering from an in-hospital or out-of-hospital cardiac arrest (CA) requires interventions for recovery, particularly for minimising secondary brain injury. Targeted temperature management (TTM) is the intervention with the greatest impact on neurological recovery. Aim: The aim of this systematic review was to describe current TTM in adult CA patients and its impact on functional outcomes. Methods: This systematic review was developed between March and May 2024 according to the Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for reporting. Eligibility criteria were established. We systematically reviewed studies enrolling adult CA patients who received TTM and reported functional outcomes. The search strategy was applied in the following databases: Medline and CINAHL Ultimate, the Cochrane Central Register of Controlled Trials, through EBSCO, and Scopus. The Rayyan software was used for the final extraction and selection. Results: The studies retrieved highlight the following interventions for neuroprotection: the use of a continuous temperature feedback system (continuous temperature monitoring with vesical, oesophageal, or parenthetic probes) for temperature induction; conducting a preinduction time between 390 min (6.5 h) and 12 h and an induction time greater than 440 min (7.3 h); setting the target temperature between 32 °C and 37.5 °C according to the patient's characteristics for a maintenance period between 24 and 48 h; the administration of sedatives, antipyretics, and neuromuscular blockers; and the assessment of neurological prognosis only after the rewarming phase, using scales such as the Cerebral Performance Category and the Modified Rankin Score. Conclusions: Continuous research and investment in this area of knowledge are highly encouraged, particularly in terms of refining accurate neurological prognostic tools and assessment scales.eng
dc.identifier.citationSeixas, J. C., Oliveira, M., Monteiro, M., Pinto, M. D. R., Durão, C., Teixeira, G., Henriques, H. R., & Teixeira, J. F. (2025). Targeted temperature management to minimise secondary brain injury after cardiac arrest: A systematic review. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 38(5), 101264. https://doi.org/10.1016/j.aucc.2025.101264
dc.identifier.doi10.1016/j.aucc.2025.101264
dc.identifier.urihttp://hdl.handle.net/10400.26/62533
dc.language.isoeng
dc.peerreviewedyes
dc.publisherAustralian College of Critical Care Nurses
dc.relation.hasversionhttps://www.australiancriticalcare.com/article/S1036-7314(25)00094-3/fulltext
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectNeuroprotection
dc.subjectNursing care
dc.subjectPost–cardiac arrest syndrome
dc.subjectTargeted temperature management
dc.subject[Secondary] brain injury
dc.titleTargeted temperature management to minimise secondary brain injury after cardiac arrest: A systematic revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5
oaire.citation.startPage101264
oaire.citation.titleAustralian Critcal Care
oaire.citation.volume38
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTeixeira
person.familyNameRafael Henriques
person.givenNameGisela
person.givenNameHelga Marília da Silva
person.identifier.ciencia-idDB10-AD30-6A9E
person.identifier.ciencia-id8612-1513-A5A8
person.identifier.orcid0000-0003-2228-8263
person.identifier.orcid0000-0003-2946-4485
relation.isAuthorOfPublicationd2391854-aaf6-4782-b455-5eb1aba5cbf4
relation.isAuthorOfPublication8b8d2679-d467-4f9d-953b-c3a27507b471
relation.isAuthorOfPublication.latestForDiscoveryd2391854-aaf6-4782-b455-5eb1aba5cbf4

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