| Title |
Therapeutic Hypothermia for Neuroprotection
|
|---|---|
| Published in |
The Neurohospitalist, February 2014
|
| DOI | 10.1177/1941874413519802 |
| Pubmed ID | |
| Authors | |
| Abstract |
The earliest recorded application of therapeutic hypothermia in medicine spans about 5000 years; however, its use has become widespread since 2002, following the demonstration of both safety and efficacy of regimens requiring only a mild (32°C-35°C) degree of cooling after cardiac arrest. We review the mechanisms by which hypothermia confers neuroprotection as well as its physiological effects by body system and its associated risks. With regard to clinical applications, we present evidence on the role of hypothermia in traumatic brain injury, intracranial pressure elevation, stroke, subarachnoid hemorrhage, spinal cord injury, hepatic encephalopathy, and neonatal peripartum encephalopathy. Based on the current knowledge and areas undergoing or in need of further exploration, we feel that therapeutic hypothermia holds promise in the treatment of patients with various forms of neurologic injury; however, additional quality studies are needed before its true role is fully known. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 6 | 17% |
| Australia | 4 | 11% |
| United Kingdom | 2 | 6% |
| Saudi Arabia | 1 | 3% |
| Canada | 1 | 3% |
| Germany | 1 | 3% |
| Netherlands | 1 | 3% |
| India | 1 | 3% |
| United Arab Emirates | 1 | 3% |
| Other | 4 | 11% |
| Unknown | 13 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 31 | 89% |
| Practitioners (doctors, other healthcare professionals) | 4 | 11% |
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | <1% |
| Spain | 1 | <1% |
| Egypt | 1 | <1% |
| Australia | 1 | <1% |
| Unknown | 186 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 30 | 16% |
| Student > Bachelor | 27 | 14% |
| Researcher | 18 | 9% |
| Student > Doctoral Student | 17 | 9% |
| Student > Master | 16 | 8% |
| Other | 37 | 19% |
| Unknown | 45 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 79 | 42% |
| Neuroscience | 21 | 11% |
| Nursing and Health Professions | 11 | 6% |
| Agricultural and Biological Sciences | 10 | 5% |
| Engineering | 7 | 4% |
| Other | 13 | 7% |
| Unknown | 49 | 26% |