title: Therapeutic hypothermia in Italian intensive care units: a national survey.
abstract: BACKGROUND
  The aim of this study was to investigate the use of therapeutic hypothermia (TH) in Italian Intensive Care Units (ICUs).
  
  
  METHODS
  
  
  
  METHODS
  After being contacted by phone, a structured questionnaire to evaluate the use of TH was sent to all Italian ICUs. The questionnaire was aimed at determining the extent of TH use (indications, methods employed, target temperature, side effects) as well as the reasons why some ICUs did not make use of TH for the treatment of cardiac arrest patients.
  
  
  RESULTS
  Out of the 448 ICUs contacted, 90% (n=404) returned the questionnaire completely filled in. Sixty-six responders (16%) made use of TH for post-resuscitation care, and 4% used TH for other clinical scenarios (10 ICUs for traumatic brain injury; 5 ICUs for other reasons). More than half used TH not only for cardiac arrest subsequent to ventricular fibrillation (VF), but also for non-VF cardiac arrest with the duration of TH treatment being within the time suggested by advanced cardiac life support guidelines. On the other hand, 80% of questionnaire responders did not use TH, mainly because they felt they did not have enough data/experience (45%), or simply because they had never thought about it (18%).
  
  
  CONCLUSIONS
  Despite authoritative data supporting its effectiveness and safety, use of TH as part of the therapy in a post-resuscitation period in Italian ICUs remains low. The reasons for not using it are not completely justified and suggest that an educational program is advisable in order to boost the utilization of TH in Italy.
authors.affiliation: Anesthesia and Intensive Care Unit, Azienda ULSS 8, Hospital of Montebelluna, Treviso, Italy. andbia@libero.it
authors.forename: A
authors.initials: A
authors.lastname: Bianchin
authors.forename: N
authors.initials: N
authors.lastname: Pellizzato
authors.forename: L
authors.initials: L
authors.lastname: Martano
authors.forename: C A
authors.initials: CA
authors.lastname: Castioni
mesh_terms: D019538:Health Care Surveys; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007036:Hypothermia, Induced / Q000706:statistics & numerical data*; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007558:Italy; D011795:Surveys and Questionnaires