Sudden cardiac arrest, which can be defined as the sudden cessation of the heart’s blood pumping process for different reasons, causes permanent neurological damage and the death of thousands of people every year. In the treatment of TTM, also known as therapeutic hypothermia, it is possible to ensure patient safety, minimize mortality, neurological damage rates and organ damage by controlling body temperature with new generation targeted temperature management applications. Turkish Anesthesiology and Reanimation Association, Turkish Intensive Care Association and Resuscitation Association also include the most up-to-date literature in order to contribute to the implementation of TTM treatment of a certain standard and high quality in Turkey; published the National Treatment Guidelines for Targeted Temperature Management After Cardiac Arrest, which basically consists of information to shed light on practical applications and decisions.

The guide, prepared by the scientific committee with the support of BD Turkey, contains information on patient selection, treatment phases, complication management, treatment application methods, patient care and the steps to create a standard TTM protocol in TTM treatment. With the information it contains, the guide aims to support physicians in their clinical decision processes on the subject.


Speaking about the guide, Turkish Intensive Care Association Chairman of the Board Prof. Dr. İsmail Cinel said, “New generation methods aiming to improve the neurological survival of cardiac arrest patients, one of the most critical patient groups in intensive care, provide a great support to the efforts of our physicians. For many years, this treatment was performed with conventional methods such as ice blocks and IV cold liquids, with which we could not guarantee patient safety. Today, resuscitation guidelines recommend controlled and safe technological systems as a feedback mechanism in the treatment of TTM. Studies clearly show us the importance of maintaining a stable target temperature and preventing fluctuations in body temperature. In cases where this cannot be achieved, the risk of awakening with sequelae increases. In this sense, we owe a lot to the new generation of targeted temperature management practices in terms of patient safety. More patients may have the best chance of living their second life. However, we have determined that we need more information and experience sharing at the point of applying this new treatment method. I believe that this guide, which emerged as a result of the gathering of the associations that are the stakeholders of the subject, will meet the need in this field.”

Turkish Society of Anesthesiology and Reanimation Chairman of the Board Prof. Dr. Meral Kanbak emphasized the following on the subject:

“In the national guideline, we focused on the indication of Targeted Temperature Management-TTM therapy after cardiac arrest and produced a guide that will be a reference on the subject. As a neuroprotective practice, temperature management actually helps in the treatment of critically ill patients in different indications such as head traumas and strokes. In parallel with the developments, I think that we should deal with the stakeholders of the subject in different areas of use of TTM treatment.”

President of the Resuscitation Society Prof. Dr. Şule Akın, “In the resuscitation guidelines updated in 2021, the recommendation levels for Targeted Temperature Management-TTM therapy, which is a part of post-resuscitative care, have become stronger, and this guide, which we put forward at the same time, proves that we are working on the right path.” he added.

The guide is available on the websites of the Turkish Society of Intensive Care and Resuscitation Society, as well as on the TARD Academy platform of the Turkish Society of Anesthesiology and Reanimation.

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