Thermoregulation Clinical Pathway — PICU and PCU

Targeted Temperature Management 36.8°C for Non-Cardiac Arrest

Thermoregulation Requirement — Choose Device
Arctic Sun is the preferred device for acute neurologic injury
 
 
Arctic Sun
Choose preset program
Rewarms 1° every 2 hrs
Do not adjust
 
 
Blanketrol
 
 
 
 
 
 
 
 
 
 
Initial measured temp
< 30°C
Initial measured temp
30 to 32°C
Initial measured temp
32.1 to 33.9°C
Initial measured temp
≥ 34 to 38°C
Initial measured temp
> 38°C
 
 
 
 
 
 
 
 
 
 
Set blanket at manual
42°C
Set blanket gradient 10 with smart mode and temp at 33°C
Set blanket gradient 10 with smart mode and temp at 35°C
Set blanket temperature automatic, 36.8°C
Child temp ≥ 30°C
 
 
Child temp ≥ 33°C
Child temp ≥ 35°C
Child temp < 37°C
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Increase set blanket temperature 1°C every 2 hours in gradient 10 smart mode to a goal set temp 36.8°C
Set gradient 10 smart mode
to a goal set temp 36.8°C