June 29, 2019
Targeted temperature management (TTM) is an increasingly relied upon modality in a comprehensive list of interventions aimed at fever reduction, limiting secondary injury, and improving recovery after acute brain injury. However, technology adoption and resources vary by hospital, and published protocols may not address the unique needs of every unit.
The ensoETM device has been implemented in hospitals worldwide and is the primary cooling and warming method for thousands of patients who receive TTM.
This consensus document summarizes best practices of hospital who have successfully adopted ensoETM and aims to guide those facilities considering implementing ensoETM as part of their TTM protocol.
Top Traits of Successful ETM Implementation in the Neuro ICU
Attune Medical reviewed the experiences of hospitals who evaluated ensoETM in the Neuro ICU and conducted a content analysis of our internal records to identify trends associated with adoption behavior.
Six characteristics were most consistently present among successful ensoETM users: 1) a TTM protocol in place, 2) a well-defined shivering control practice, 3) standing orders for TTM, 4) access to a neurointensivist, 5) a dedicated Neuro ICU, and 6) well maintained water blanket machines. Among these factors, having strong TTM and shivering protocols in place were the most important. The attached sample protocol illustrates how ETM and shivering control can be integrated into a TTM protocol.
Even if your ICU does not share all the top traits listed above, ensoETM can still benefit your patients. Every member of the Attune Medical field team has a nursing degree; allowing us to provide unique insights from our implementation experiences across the US. We recommend that you work closely with your Clinical Account Manager to identify your challenges and establish goals for the evaluation process. We have helped ICUs of all sizes and specialties develop TTM protocols, research pharmaceutical interventions, and synthesize current guidelines into a feasible and sustainable evidence-based practice that is right for them.