Title |
How I Cool Children in Neurocritical Care
|
---|---|
Published in |
Neurocritical Care, February 2010
|
DOI | 10.1007/s12028-010-9334-5 |
Pubmed ID | |
Authors |
Ericka L. Fink, Patrick M. Kochanek, Robert S. B. Clark, Michael J. Bell |
Abstract |
Brain injury is the leading cause of death in our pediatric ICU [Au et al. Crit Care Med 36:A128, 2008]. Clinical care for brain injury remains largely supportive. Therapeutic hypothermia has been shown to be effective in improving neurological outcome after adult ventricular-arrhythmia-induced cardiac arrest and neonatal asphyxia, and is under investigation as a neuroprotectant after cardiac arrest and traumatic brain injury in children in our ICU and other centers. To induce hypothermia in children comatose after cardiac arrest we target 32-34 degrees C using cooling blankets and intravenous iced saline as primary methods for induction, for 24-72 h duration with vigilant re-warming. The objective of this article is to share our hypothermia protocol for cooling children with acute brain injury. |
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United Kingdom | 1 | 1% |
Peru | 1 | 1% |
Canada | 1 | 1% |
Japan | 1 | 1% |
Korea, Republic of | 1 | 1% |
Unknown | 93 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 12 | 12% |
Student > Bachelor | 12 | 12% |
Student > Master | 9 | 9% |
Other | 9 | 9% |
Professor > Associate Professor | 7 | 7% |
Other | 22 | 22% |
Unknown | 29 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 53 | 53% |
Nursing and Health Professions | 8 | 8% |
Psychology | 3 | 3% |
Agricultural and Biological Sciences | 2 | 2% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Other | 4 | 4% |
Unknown | 28 | 28% |