Treatment of Resistant Fever: New Method of Local Cerebral Cooling

Mink, Susanne; Schwarz, Urs; Mudra, Regina; Gugl, Christoph; Fröhlich, Jürg; Keller, Emanuela

doi:10.1007/s12028-010-9451-1

Cited by 7 publications

(5 citation statements)

References 32 publications

(45 reference statements)

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“…A rapid increase within seconds is frequently associated with a stress response or triggering of autonomic dysfunctions via the vagal or glossopharnygeal nerves or carotid bodies, 25 whereas an increase within minutes is likely because of local venous obstruction. 26 The latter may result from bilateral jugular vein compression when the part of the Sovika device covering the anterior neck is fitted.…”

Section: March 2013mentioning

confidence: 99%

Induction of Cooling With a Passive Head and Neck Cooling Device

Poli

Purrucker

Priglinger

et al. 2013

Stroke

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Background and Purpose— Therapeutic hypothermia improves clinical outcome after cardiac arrest and appears beneficial in other cerebrovascular diseases. We conducted this study to investigate the relationship between surface head/neck cooling and brain temperature. Methods— Prospective observational study enrolling consecutive patients with severe ischemic or hemorrhagic stroke undergoing intracranial pressure (ICP) and brain temperature monitoring. Arterial pressure, ICP, cerebral perfusion pressure, heart rate, brain, tympanic, and bladder temperature were continuously registered. Fifty-one applications of the Sovika cooling device were analyzed in 11 individual patients. Results— Sovika application led to a significant decrease of brain temperature compared with baseline with a maximum of −0.36°C (SD, 0.22) after 49 minutes (SD, 17). During cooling, dynamics of brain temperature differed significantly from bladder (−0.25°C [SD, 0.15] after 48 minutes [SD, 19]) and tympanic temperature (−1.79°C [SD, 1.19] after 37 minutes [SD, 16]). Treatment led to an increase in systolic arterial pressure by >20 mm Hg in 14 applications (n=7 patients) resulting in severe hypertension (>180 mm Hg) in 4 applications (n=3). ICP increased by >10 mm Hg in 7 applications (n=3), led to ICP crisis >20 mm Hg in 6 applications (n=3), and a drop of cerebral perfusion pressure <50 mm Hg in 1 application. Conclusions— Although the decrease of brain temperature after Sovika cooling device application was statistically significant, we doubt clinical relevance of this rather limited effect (−0.36°C). Moreover, the transient increases of blood pressure and ICP warrant caution.

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Section: March 2013mentioning

confidence: 99%

Induction of Cooling With a Passive Head and Neck Cooling Device

Poli

Purrucker

Priglinger

et al. 2013

Stroke

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“…This is an important contribution to the literature. While some hypothermia experiments have directly measured brain temperature in animal [13] or human subjects [18][19][20][21], most clinical trials have used core temperature measurements alone [3,4,[7][8][9][10][11], and none have utilized MR spectroscopy as a method to measure brain temperature.…”

Section: Resultsmentioning

confidence: 99%

Cold Blooded: Evaluating Brain Temperature by MRI During Surface Cooling of Human Subjects

et al. 2017

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“…222 Mean brain temperature reduced by about 0.5 °C within a few hours but the reduction was not sustained. Emcools have developed their cooling pads for neck cooling (Stroke.Pad, Emcools, Vienna, Austria) but there are few data as yet.…”

Section: Appendix 1 Appendix 2 Appendix 3 Writing To Investigators Anmentioning

confidence: 97%

Systematic review of head cooling in adults after traumatic brain injury and stroke

Harris

Andrews²,

Murray³

et al. 2012

Health Technol Assess

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Treatment of Resistant Fever: New Method of Local Cerebral Cooling

Cited by 7 publications

References 32 publications

Induction of Cooling With a Passive Head and Neck Cooling Device

Induction of Cooling With a Passive Head and Neck Cooling Device

Cold Blooded: Evaluating Brain Temperature by MRI During Surface Cooling of Human Subjects

Systematic review of head cooling in adults after traumatic brain injury and stroke

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