How to Stay Cool in the ICU? Endovascular vs. Surface Cooling
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).
- fever control
- post-hypoxic injury
- cardiac arrest
- brain ischemia
- cardiopulmonary resuscitation
- Received June 7, 2015.
- Accepted June 9, 2015.