How to Stay Cool in the ICU? Endovascular vs. Surface Cooling.

How to Stay Cool in the ICU? Endovascular vs. Surface Cooling.
Circulation. 2015 Jun 19;
Authors: Polderman KH
Abstract
Dozens of observational studies published over the past two decades have shown that fever in patients with acute neurologic injury, regardless of its cause, is independently linked to higher mortality, poor neurologic outcome, and increased length of stay in the intensive care unit (ICU) and hospital. This has been demonstrated for traumatic brain injury, acute ischemic stroke (AIS), subarachnoid haemorrhage, intracranial haemorrhage, and cardiac arrest (CA).(1,2) Therefore, therapeutic temperature management (TTM) is a key goal of care in all patients with acute brain injury. In most cases the goal is strict fever control, i.e. controlled normothermia; in patients with post-hypoxic injuries the goals is often to achieve below-normal core temperature, i.e. to induce therapeutic hypothermia (TH).
PMID: 26092672 [PubMed - as supplied by publisher]

Source: Circulation - June 19, 2015 Category: Cardiology Authors: Polderman KH Tags: Circulation Source Type: research