Methods of cooling: Practical aspects of therapeutic temperature management

Seder, David B.; Kloot, Thomas E. Van der

doi:10.1097/ccm.0b013e3181aa5bad

Cited by 88 publications

(59 citation statements)

References 124 publications

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“…An increase in blood temperature would heat the well-perfused brain rapidly, and a decrease in blood temperature would lead to a rapid decrease of the brain temperature, respectively [23]. As shown in other studies selective brain cooling with a cap is not sufficient, for which reason the future selective cooling devices should be restricted to cooling the arterial flow of the neck [13,15,24,25].…”

Section: Discussionmentioning

confidence: 91%

Treatment of Resistant Fever: New Method of Local Cerebral Cooling

et al. 2010

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Background Fever in neurocritical care patients is common and has a negative impact on neurological outcome. The purpose of this prospective observational study was (1) to evaluate the practicability of cooling with newly developed neck pads in the daily setting of neurointensive care unit (NICU) patients and (2) to evaluate its effectiveness as a surrogate endpoint to indicate the feasibility of neck cooling as a new method for intractable fever. Methods Nine patients with ten episodes of intractable fever and aneurysmal subarachnoid hemorrhage were treated with one of two different shapes of specifically adapted cooling neck pads. Temperature values of the brain, blood, and urinary bladder were taken close meshed after application of the cooling neck pads up to hour 8.Results The brain, blood, and urinary bladder temperatures decreased significantly from hour 0 to a minimum in hour 5 (P < 0.01). After hour 5, instead of continuous cooling in all the patients, the temperature of all the three sites remounted. Conclusion This study showed the practicability of local cooling for intractable fever using the newly developed neck pads in the daily setting of NICU patients.

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Section: Discussionmentioning

confidence: 91%

Treatment of Resistant Fever: New Method of Local Cerebral Cooling

et al. 2010

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“…Sólo la sedación y el bloqueo neuromuscular, administrados en forma protocolizada contra un objetivo de sedación moderada, han demostrado reducir el número de días en ventilación mecánica 21 y la probabilidad de neumonía asociada al ventilador mecánico (NAV) 22 . Sin embargo, su uso durante hipotermia está asociado a un objetivo de sedación profunda 23 , por lo que puede contribuir tanto al aumento de NAV 24 como de polineuromiopatía 25 . En nuestro paciente, limitamos el uso de vecuronio a los episodios de calofríos que ocurrieron principalmente durante los primeros días de la hipotermia.…”

Section: Discussionunclassified

Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria

et al. 2012

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“…The main advantages of core cooling are shorter time to goal temperature and more precise hypothermic control. 15,26,32,39 In recent years, there has been an increased interest in selective brain cooling for the treatment of ischemic stroke. This concept has led to the invention of 2 devices for implementation.…”

Section: Methods Of Coolingmentioning

confidence: 99%

Therapeutic hypothermia in acute ischemic stroke

Groysman

Kim-Tenser²,

Sung³

et al. 2011

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Induced hypothermia has been used for neuroprotection in cardiac and neurovascular procedures. Experimental and translational studies provide evidence for its utility in the treatment of ischemic cerebrovascular disease. Over the past decade, these principles have been applied to the clinical management of acute stroke. Varying induction methods, time windows, clinical indications, and adjuvant therapies have been studied. In this article the authors review the mechanisms and techniques for achieving therapeutic hypothermia in the setting of acute stroke, and they outline pertinent side effects and complications. The manuscript summarizes and examines the relevant clinical trials to date. Despite a reasonable amount of existing data, this review suggests that additional trials are warranted to define the optimal time window, temperature regimen, and precise clinical indications for induction of therapeutic hypothermia in the setting of acute stroke.

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Methods of cooling: Practical aspects of therapeutic temperature management

Abstract: Intensivists should be familiar with techniques to induce, maintain, and withdraw therapeutic temperature management, and select the most appropriate method for a given patient and situation.

Cited by 88 publications

References 124 publications

Treatment of Resistant Fever: New Method of Local Cerebral Cooling

Treatment of Resistant Fever: New Method of Local Cerebral Cooling

Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria

Therapeutic hypothermia in acute ischemic stroke

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