The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Therapeutic hypothermia following cardiac arrest.

Description

People who have a cardiac arrest can sometimes develop neurological problems because of the lack of oxygen to the brain.

In this procedure, after resuscitation a cooling device is used to reduce the person’s core temperature to 32–34°C to reduce the risk of developing neurological problems.

Coding recommendations

X51.2 Active cooling

In addition the ICD-10 code I46.0 Cardiac arrest with successful resuscitation is assigned.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

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