Thursday, July 30, 2015

Reduced Intracranial Pressure After Severe Traumatic Brain Injury Achieved With Therapeutic Hypothermia

Would this help for hemorrhagic strokes? Whom is going to answer that question? You'll have to ask your doctor that question when you present to the ER with a hemorrhagic stroke.
http://dgnews.docguide.com/reduced-intracranial-pressure-after-severe-traumatic-brain-injury-achieved-therapeutic-hypothermia?
Results from a European clinical trial comparing therapeutic hypothermia to standard treatment for patients with elevated intracranial pressure (ICP) as a result of severe traumatic brain injury demonstrate a significant mean decrease in ICP with body cooling to 32-35 degrees Celsius , which did not occur in the absence of therapeutic hypothermia. The study design and preliminary data are reported in Therapeutic Hypothermia and Temperature Management.
Liam Flynn, BMBS, Jonathan Rhodes, MBChB, PhD, and Peter Andrews, MBChB, MD, University of Edinburgh and Western General Hospital, Edinburgh, United Kingdom, use a strategy of lowering the body temperature to affect increases in pressure and blood flow in and around the brain that cause much of the damage associated with traumatic brain injury. Among the patients with increased ICP in this study, who did not respond to initial therapy, a mean reduction in ICP of 4.3 + 1.6 mmHg was recorded at the first hour the target body temperature was reached, and the decrease in pressure continued throughout the 6 hours of hypothermia therapy.
"These preliminary findings from an ongoing clinical trial are important to the field and support the beneficial effects of therapeutic hypothermia on controlling ICP elevations in severe TBI patients," says W. Dalton Dietrich, PhD, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.
SOURCE: Therapeutic Hypothermia and Temperature Management

No comments:

Post a Comment