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Open Access 01-09-2008 | Correspondence

Treating intracranial hypertension in traumatic brain injury: keep it cool!

Authors: Kees H. Polderman, David K. Menon, Armand R. J. Girbes

Published in: Intensive Care Medicine | Issue 9/2008

Excerpt

Stocchetti et al. [1] have reported their experience with currently available “second tier” therapeutic options for the treatment of refractory intracranial hypertension in patients with traumatic brain injury (TBI) in three Italian neurotrauma centres. The authors discuss three options to control intracranial pressure: profound hyperventilation, barbiturate coma and decompressive craniectomy. These options were used alone or in combination. …

Stocchetti N, Zanaboni C, Colombo A, Citerio G, Beretta L, Ghisoni L, Zanier ER, Canavesi K (2008) Refractory intracranial hypertension and “second-tier” therapies in traumatic brain injury. Intensive Care Med 34:461–467PubMedCrossRef

Rossi S, Zanier ER, Mauri I, Columbo A, Stocchetti N (2001) Brain temperature, body core temperature, and intracranial pressure in acute cerebral damage. J Neurol Neurosurg Psychiatry 71:448–454PubMedCrossRef

Soukup J, Zauner A, Doppenberg EM, Menzel M, Gilman C, Young HF, Bullock R (2002) The importance of brain temperature in patients after severe head injury: relationship to intracranial pressure, cerebral perfusion pressure, cerebral blood flow, and outcome. J Neurotrauma 19:559–571PubMedCrossRef

Diringer MN, Reaven NL, Funk SE, Uman GC (2004) Elevated body temperature independently contributes to increased length of stay in neurologic intensive care unit patients. Crit Care Med 32:1611–1612CrossRef

Polderman KH (2008) Induced hypothermia and fever control for prevention and treatment of neurological injuries. Lancet 371 (in press)

Polderman KH (2004) Therapeutic hypothermia in the intensive care unit: problems, pitfalls and opportunities (review). Part 1: indications and evidence. Intensive Care Med 30:556–575PubMedCrossRef

Polderman KH, Ely EW, Badr AE, Girbes AR (2003) Induced hypothermia in traumatic brain injury: considering the conflicting results of meta-analyses and moving forward. Intensive Care Med 29:1637–1644CrossRef

Polderman KH, Tjong Tjin Joe R, Peerdeman SM, Vandertop WP, Girbes ARJ (2002) Effects of artificially induced hypothermia on intracranial pressure and outcome in patients with severe traumatic head injury. Intensive Care Med 28:1563–1567PubMedCrossRef

McIntyre LA, Fergusson DA, Hebert PC, Moher D, Hutchison JS (2003) Prolonged therapeutic hypothermia after traumatic brain injury in adults: a systematic review. JAMA 289:2992–2999PubMedCrossRef

10.

Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma, Critical Care AANS/CNS (2007) Guidelines for the management of severe traumatic brain injury. III. Prophylactic hypothermia. J Neurotrauma 24(Suppl 1):S21–S25

11.

Roberts I (2000) Barbiturates for acute traumatic brain injury. Cochrane Database Syst Rev 2:CD000033PubMed

12.

Eisenberg HM, Frankowski RF, Contant CF, Marshall LF, Walker MD (1988) High dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg 69:15–23PubMedCrossRef

13.

Bohn DJ, Swan P, Sides C, Hoffman H (1989) High-dose barbiturate therapy in the management of severe paediatric head injury: a randomised controlled trial. Crit Care Med S118:17 [abstract]

14.

Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS (2007) Guidelines for the management of severe traumatic brain injury. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma 24(Suppl 1):S87–S90

15.

Muizelaar JP, Marmarou A, Ward JD, Kontos HA, Choi SC, Becker DP, Gruemer H, Young HF (1991) Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial. J Neurosurg 75:731–739PubMed

16.

Taylor A, Butt W, Rosenfeld J, Shann F, Ditchfield M, Lewis E, Klug G, Wallace D, Henning R, Tibballs J (2001) A randomized trial of very early decompressive craniectomy in children with traumatic brain injury and sustained intracranial hypertension. Childs Nerv Syst 17:154–162PubMedCrossRef

17.

Sahuquillo J, Arikan F (2006) Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury. Cochrane Database Syst Rev 1:CD003983PubMed

18.

http://www.controlled-trials.com/ISRCTN66202560/RESCUEicp

19.

http://clinicaltrials.gov/ct2/show/NCT00155987

20.

Nortje J, Coles JP, Timofeev I, Fryer TD, Aigbirhio FI, Smielewski P, Outtrim JG, Chatfield DA, Pickard JD, Hutchinson PJ, Gupta AK, Menon DK (2008) Effect of hyperoxia on regional oxygenation and metabolism after severe traumatic brain injury: preliminary findings. Crit Care Med 36:273–281PubMedCrossRef

Title: Treating intracranial hypertension in traumatic brain injury: keep it cool!
Authors: Kees H. Polderman
David K. Menon
Armand R. J. Girbes
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 9/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-008-1132-6

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Treating intracranial hypertension in traumatic brain injury: keep it cool!

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At a glance: The STEP trials

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