Vliv mírné hypotermie na výsledky léčby u paicentů po těžkém kraniocerebrálním poranění

Title in English The influence of mild hypothermia on results of therapy in patients after severe craniocerebral trauma.

SMRČKA Martin MÁCA Karel VIDLÁK Milan SMRČKA Vladimír

Year of publication 2004
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie, supplementum
MU Faculty or unit

Faculty of Medicine

Field Neurology, neurosurgery, neurosciences
Keywords severe brain injury; controlled hypothermia
Description Controlled hypothermia si a very promising neuroprotective method usable primarily in the area ov neurotraumatology, since it effectively decreases intracranial pressure (ICP) and increases cerebral perfusion pressure (CPP). However, the effect on long-term therapeutic outcome has not been unequivocally demonstrated. The goal of our study was to find out, whether hypothermia shows different effects in patients with dominating primary brain injury and in patients with brain compression by extracerebral haematomas. With adequate monitoring, mild controlled hypothermia improves therapeutic outcome in patients threatened with secondary ischemic damage to the brain. In primary injuries, it should only be used in cases of intracranial hypertension that cannost be managed otherwise.
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