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Updated: May 21, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
[Targeted temperature management in critical care : current 2011 recommendations].
1Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig (AöR), Liebigstr. 20, 04103, Leipzig, Deutschland.
New guidelines recommend targeted temperature management (TTM), replacing therapeutic hypothermia. TTM is now preferred for unconscious adult cardiac arrest survivors and asphyxiated newborns exhibiting acidosis or encephalopathy.
Area of Science:
- Critical care medicine
- Cardiology
- Neonatology
Context:
- Updated guidelines for temperature management in critical care were issued in October 2011.
- The term "targeted temperature management" (TTM) is now recommended over "therapeutic hypothermia."
Purpose:
- To summarize the updated guidelines for temperature management in critical care.
- To highlight the recommended TTM protocols for specific patient populations.
Summary:
- TTM using 32-34°C is strongly recommended for unconscious adult cardiac arrest survivors with ventricular fibrillation or pulseless ventricular tachycardia.
- TTM between 32.5-35.5°C is recommended for term newborns experiencing asphyxia with acidosis and/or encephalopathy.
Impact:
- Facilitates consistent and evidence-based temperature management protocols in critical care settings.
- Aims to improve patient outcomes following cardiac arrest and hypoxic-ischemic events in newborns.
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