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KMID : 1148420200030020029
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Journal of Neurointensive Care
2020 Volume.3 No. 2 p.29 ~ p.32
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Current Prophylactic Hypothermia for Intracranial Hypertension after Traumatic Brain Injury
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Kim Joo-Hyun
Lee Sang-Hoon
Hur Jun-Seok W.
Park Kyung-Jae
Lee Jang-Bo
Kang Shin-Hyuk
Cho Tai-Hyoung
Park Jung-Yul
Jung Yong-Gu
Park Dong-Hyuk
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Abstract
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Hypothermia performed in patients with traumatic brain injury (TBI) reduces cerebral metabolism and cerebral blood flow, subsequently decreasing intracranial pressure (ICP). There have been many disagreements about the effectiveness of prophylactic hypothermia in its clinical application. Until now, hypothermia has been used without standardized treatment guidelines and performed by each medical provider's personal judgment. Recently, a large-scale randomized controlled trial regarding hypothermia was conducted, and it concluded that the early use of therapeutic hypothermia in the staged management of ICP elevation is not beneficial. Therefore, it is our latest knowledge that it is difficult to derive a standardized treatment protocol for prophylactic hypothermia in TBI patients, and also, it is not advantageous to the patient.
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KEYWORD
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Hypothermia, Traumatic brain injury, Intracranial pressure, Intracranial hypertension
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