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Progress in Clinical Neurosciences: Therapeutic Hypothermia in Severe Traumatic Brain Injury

Published online by Cambridge University Press:  02 December 2014

David A. Zygun
Affiliation:
Department of Medicine, University of Calgary, Calgary, Alberta, Canada
Christopher J. Doig
Affiliation:
Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
Roland N. Auer
Affiliation:
Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada
Kevin B. Laupland
Affiliation:
Department of Medicine, University of Calgary, Calgary, Alberta, Canada Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada
Garnette R. Sutherland
Affiliation:
Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
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Abstract

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Severe traumatic brain injury (sTBI) is a relatively common problem with few therapies proven effective. Despite its use for over 50 years, therapeutic hypothermia has not gained widespread acceptance in the treatment of sTBI due to conflicting results from clinical trials. This review will summarize the current evidence from animal, mechanistic and clinical studies supporting the use of therapeutic hypothermia. In addition, issues of rewarming and optimal temperature will be discussed. Finally, the future of hypothermia in sTBI will be addressed.

Résumé:

RÉSUMÉ:

Le traumatisme crânien sévère (TCS) est un problème relativement fréquent pour lequel peu de traitements se sont avérés efficaces. Bien que l'hypothermie thérapeutique soit utilisée depuis 50 ans, des essais cliniques dont les résultats sont discordants ont entravé son utilisation dans le traitement du TCS. Cette revue résume les données actuelles des études chez l'animal et chez l'humain ainsi que les études sur les mécanismes en cause appuyant son utilisation. De plus, le réchauffement et la température idéale sont discutés. Finalement, l'avenir de l'hypothermie dans le traitement du TCS est abordé.

Type
Review Article
Copyright
Copyright © The Canadian Journal of Neurological 2003

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