Hernández LA, López PHR, Etulain GJE, Camarena AG, Aguirre SJ, Franco GJ

Language: Spanish
References: 21
Page: 124-130
PDF size: 334.28 Kb.

ABSTRACT

Introduction: Induced hypothermia is used in patients with traumatic brain injury (TBI) for handling severe intracranial hypertension refractory to medical treatment is still controversial.
Objectives: To evaluate the effect of hypothermia on intracranial pressure (ICP) in patients with severe TBI, to assess neurological outcome and mortality.
Methods: Prospective, observational, descriptive. Included patients admitted to the ICU with severe TBI and ICP › 20 mmHg. We analyzed two groups: 1. hypothermia, 2. normothermia. PIC behavior was assessed for 5 days.
Results: 18 patient: hypothermia group (n = 8) and normothermia group (n = 10), the initial PIC similar in both groups (24.2 ± 1.7 vs 23.4 ± 1.5), however with a 24-hour group found hypothermia reduced ICP (8.8 ± 4.5 ± 1.2 vs 18) with a value p ‹ 0.001. Complications were similar in both groups. Improved neurological outcome in the hypothermia group at six months with GCS (12 vs 8) normothermia group.
Conclusion: Induced hypothermia reduces ICP in patients refractory intracranial hypertension in severe head injury and improves neurological outcome at 6 months with no improvement in mortality.

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