Acute cardiac care & resuscitation
Variability in temperature control practices amongst the Influence of Cooling duration on Efficacy in Cardiac Arrest Patients (ICECAP) trial
Authors' conclusion
Amongst ICECAP trial sites, there was significant variability in resources, methods, and barriers for early temperature control initiation.
Study context
- Population
- Sites enrolling in the ICECAP trial of cooling duration after cardiac arrest (site principal investigators)75% response rate
- Participants
- 51 participants
Methodological detailssurvey, multicentre, web-based
- Survey
- Multicentre
- Web-based
Main finding
As reported in the abstract
Temperature control practices across ICECAP sites
- Sites with institutional temperature control protocols
- n = 41; 80%
- Separate protocols for initiation of temperature control in the emergency department (ED)
- 62.5% (n = 32)
- Protocols specific to sedation or neuromuscular blockade (NMB) management
- n = 35, 68.6%
- Sites inducing paralysis <20% of the time during induction
- 61.7% (n = 29)
- Institutional protocols commenting on importance of early initiation
- n = 11, 83.3%
- Largest barrier: clinical nihilism about importance of early temperature control initiation
- n = 30, 62.5%
- Respondents uploading institutional protocols
- 23.5% (n = 12)
Observational data: associations, not effects.
Further findings
Quality of temperature control in ICECAP trial database
- Patients treated with NMB
- 1 in 2
- Use of NMB and time to initiation of temperature control device varied widely between sites
Original publication
Variability in temperature control practices amongst the Influence of Cooling duration on Efficacy in Cardiac Arrest Patients (ICECAP) trial. Resuscitation. Published 13 September 2024. doi:10.
Summarised from the published abstract; every number is checked against it