Thermoregulation Clinical Pathway — PICU and PCU

Targeted Temperature Management 36°C for Cardiac Arrest
Targeted Temperature Management 36.8°C for Non-Cardiac Arrest
(Formerly controlled normothermia)
Use Cooling Blanket Epic order set
Measure Patient Core Temperature
Measured Core Temp
< 30°C
Measured Core Temp
30 to 32°C
Measured Core Temp
32.1 to 33.9°C
Measured Core Temp
≥ 34°C and < 38°C
Measured Core Temp
≥ 38° C
Set Blanket at Manual
42°C
Gradient 10 with smart mode
Set temp at 33°C
Gradient 10 with smart mode
Set temp at 35°C
Automatic Mode
Set Temp:
Non-cardiac Arrest: 36.8°C
Cardiac Arrest: 36°C
Patient Temp > 30°C
Patient Temp ≥ 33°C
Patient Temp ≥ 35°C
Patient Temp < 38°C
Increase set blanket temperature 1° C every 2 hours in gradient 10 smart mode to a goal set temp:

Non-cardiac Arrest: 36.8°C
Cardiac Arrest: 36°C
Set Gradient 10 smart mode to a goal set temp:

Non-cardiac Arrest: 36.8°C
Cardiac Arrest: 36°C