Treatment of Resistant Fever: New Method of Local Cerebral Cooling
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Susanne Mink • Urs Schwarz • Regina Mudra • Christoph Gugl • Ju¨rg Fro¨hlich • Emanuela Keller
- چاپ و سال / کشور: 2011
Description
Background Fever in neurocritical care patients is common and has a negative impact on neurological outcome. The purpose of this prospective observational study was (1) to evaluate the practicability of cooling with newly developed neck pads in the daily setting of neurointensive care unit (NICU) patients and (2) to evaluate its effectiveness as a surrogate endpoint to indicate the feasibility of neck cooling as a new method for intractable fever. Methods Nine patients with ten episodes of intractable fever and aneurysmal subarachnoid hemorrhage were treated with one of two different shapes of specifically adapted cooling neck pads. Temperature values of the brain, blood, and urinary bladder were taken close meshed after application of the cooling neck pads up to hour 8. Results The brain, blood, and urinary bladder temperatures decreased significantly from hour 0 to a minimum in hour 5 (P < 0.01). After hour 5, instead of continuous cooling in all the patients, the temperature of all the three sites remounted. Conclusion This study showed the practicability of local cooling for intractable fever using the newly developed neck pads in the daily setting of NICU patients.
Neurocrit Care (2011) 15:107–112 DOI 10.1007/s12028-010-9451-1| Published online: 1 October 2010
