2003
DOI: 10.1046/j.1478-5153.2003.00002.x
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A review of cooling patients with severe cerebral insult in ICU (Part 1)

Abstract: A review of the literature was undertaken to determine the existence of any evidence to support cooling strategies used in the ICU. The focus of the review was to examine previous findings on the specific problems of cooling patients with severe cerebral insult. Cooling methods that use external physical cooling strategies as well as the effects of antipyretics and vasoactive drugs were examined. Overall, it would appear that conclusions for practice remain unclear. The findings led to the implementation of a … Show more

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Cited by 8 publications
(4 citation statements)
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“…This includes older people, neonates, head‐injured patients with elevated intracranial pressure, children with a history of febrile seizures, those with severe burns, those with neoplastic disease, those with cardiovascular compromise, and the immunocompromised, but these cases are relatively few (Cunha et al. 1984, Fletcher 1987, Morgan 1990, Holtzclaw 1992, Miller 1993, Rowsey 1997b, Price & McGloin 2003, Diringer et al. 2004).…”
Section: Resultsmentioning
confidence: 99%
“…This includes older people, neonates, head‐injured patients with elevated intracranial pressure, children with a history of febrile seizures, those with severe burns, those with neoplastic disease, those with cardiovascular compromise, and the immunocompromised, but these cases are relatively few (Cunha et al. 1984, Fletcher 1987, Morgan 1990, Holtzclaw 1992, Miller 1993, Rowsey 1997b, Price & McGloin 2003, Diringer et al. 2004).…”
Section: Resultsmentioning
confidence: 99%
“…In addition, physical cooling therapy implements the concept of radiant body heat transfer to the environment by radiation, evaporation, conduction and convection. The combination of physical cooling and antipyretics is the most frequently studied and most widely applied topic for reducing fever in critically ill patients (Price & McGloin, 2003).…”
Section: Introductionmentioning
confidence: 99%
“…Since 1943, inducing hypothermia as a treatment in which body temperature is kept at 32–34 °C has been applied in various brain injuries aiming to decrease brain metabolism and reduce neuronal swelling [ 323 ]. Interventions achieving a more modest temperature reduction than induced hypothermia include drug therapies (e.g.,: paracetamol, acetaminophen, non-steroidal anti-inflammatory drugs [ 324 ]) and physical therapies (e.g.,: bedside fans, tepid sponging, ice packs, cooling blankets [ 325 ]). Studies in recent years used different temperature ranges in order to achieve good patient outcomes.…”
Section: Treatment Strategies and Modalities After Tbimentioning
confidence: 99%