Matt Harmon

32 Chapter two It was then posted on the website European Society of Intensive Care Medicine (ESICM) and electronically mailed to members of the following ESICM sections: Systemic Inflammation and Sepsis (3268 members); Trauma and Emergency Medicine (7186 members); and Cardiovascular Dynamics (11,685 members). The survey was online from March 24th, 2017 to June 26th, 2017. Respondents were asked to fill in the survey from the perspective of the usual or average practice on their ICU. IP-addresses were used to provide an indication of the amount of potential duplicate responses. Statistical analysis All analyses were performed in R (version 3.1.1) and SPSS version 24. Normally distributed data is presented a mean ± (standard deviation). Non-parametric data is presented as median (25-75th percentile). Results In total, there were 440 respondents to the survey. Of these, 288 (66%) of respondents were working in Europe, 67 in Asia (15%), and 39 (9%) in Latin America. 341 (78%) of respondents were intensivists. The main specialty area of respondents was intensive care (288 [59%]) followed by anesthesiology (114 [26%]) and internal medicine (40 [9%]). Respondents mainly worked in an academic hospital (290 [66%]) versus nonacademic hospital (150 [34%]). Reported years of ICU experience were evenly distributed; the largest portion of respondents (28%) reported 0–5 years of ICU experience. Only three (1%) nurses filled in the survey. Table 1 shows the characteristics of respondents in the survey. Rewarming: definitions and practice. Among the 440 respondents, 96% indicated that there was no written protocol for the management of hypothermic septic patients at their institution. Sixty- two percent of respondents reported that they actively rewarmed patients with spontaneous hypothermia during sepsis, compared to 38% who did not rewarm patients. Respondents were asked to specify per 0.1°C what their definition of hypothermia was. There was a wide range of definitions of hypothermia ranging from 34.0°C to 37.5°C. The most frequent answer was 36.0°C (44%) followed by 35.0°C (15%) (Figure 1A shows answers grouped per 0.5°C). Respondents who actively rewarmed patients were asked about their rewarming practices. On average, most respondents considered rewarming patients from a temperature of 36.0°C (31%) (Figure 1B). Forty-eight percent of