Monday, March 18, 2024

Temperature management in acute brain injury: A narrative review

Is your competent? doctor and hospital going to contact stroke leadership to get this question solved in the form of creating a protocol? Or will they DO NOTHING LIKE USUAL?

Temperature management in acute brain injury: A narrative review

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https://doi.org/10.1016/j.medine.2024.03.001Get rights and content
Refers to
Medicina Intensiva, Available online 15 March 2024, Pages
Eva Esther Tejerina Álvarez, José Ángel Lorente Balanza

Abstract

Temperature management has been used in patients with acute brain injury resulting from different conditions, such as post-cardiac arrest hypoxic-ischaemic insult, acute ischaemic stroke, and severe traumatic brain injury. However, current evidence offers inconsistent and often contradictory results regarding the clinical benefit of this therapeutic strategy on mortality and functional outcomes. Current guidelines have focused mainly on active prevention and treatment of fever, while therapeutic hypothermia (TH) has fallen into disuse, although doubts persist as to its effectiveness according to the method of application and appropriate patient selection. This narrative review presents the most relevant clinical evidence on the effects of TH in patients with acute neurological damage, and the pathophysiological concepts supporting its use.

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