REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE

Detalhes bibliográficos
Autor(a) principal: Forte, Luis Vicente [UNIFESP]
Data de Publicação: 2009
Outros Autores: Peluso, Cassio Morano [UNIFESP], Prandini, Mirto Nelso [UNIFESP], Godoy, Roberto, Rojas, Salomon Soriano Ordinola
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2009000300019
http://repositorio.unifesp.br/handle/11600/42749
Resumo: Objective: To evaluate the effectiveness of regional cooling for reducing brain temperature (BrTe) and intracranial pressure (ICP) in patients where conventional clinical treatment has failed. Method: Regional cooling was carried out using ice bags covering the area of the craniectomy (regional method) in 23 patients. The BrTe and ICP were determined using a fiber optic sensor. Thirteen patients (56.52%) were female. The ages ranged from 16 to 83 years (mean of 48.9). The mean APACHE II score was 25 points (11-35). The patients were submitted, on mean, to 61.7 hours (20-96) of regional cooling. Results: There was a significant reduction in mean BrTe (p<0.0001-from 37.1 degrees C to 35.2 degrees C) and mean ICP (p=0.0001-from 28 mmHg to 13 mmHg). Conclusion: Our results suggest that mild brain hypothermia induced by regional cooling was effective in the control of ICP in patients who had previously undergone decompressive craniectomy.
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spelling REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSUREResfriamento cerebral regional para redução da temperatura e pressão intracranianaintracranial hypertensionintracranial pressurecerebral hypothermiabrain edemabrain injuriesObjective: To evaluate the effectiveness of regional cooling for reducing brain temperature (BrTe) and intracranial pressure (ICP) in patients where conventional clinical treatment has failed. Method: Regional cooling was carried out using ice bags covering the area of the craniectomy (regional method) in 23 patients. The BrTe and ICP were determined using a fiber optic sensor. Thirteen patients (56.52%) were female. The ages ranged from 16 to 83 years (mean of 48.9). The mean APACHE II score was 25 points (11-35). The patients were submitted, on mean, to 61.7 hours (20-96) of regional cooling. Results: There was a significant reduction in mean BrTe (p<0.0001-from 37.1 degrees C to 35.2 degrees C) and mean ICP (p=0.0001-from 28 mmHg to 13 mmHg). Conclusion: Our results suggest that mild brain hypothermia induced by regional cooling was effective in the control of ICP in patients who had previously undergone decompressive craniectomy.Hosp Sao Joaquim, Real & Benemerita Soc Portuguesa Beneficencia Sao, Sao Paulo, BrazilHosp Meridional, Neurosurg Intens Care Unit, Cariacica, ES, BrazilUniv Fed Sao Paulo, UNIFESP, Dept Neurosurg, Escola Paulista Med, Sao Paulo, BrazilUniv Fed Sao Paulo, UNIFESP, Dept Neurosurg, Escola Paulista Med, Sao Paulo, BrazilWeb of ScienceAssoc Arquivos Neuro- PsiquiatriaHosp Sao JoaquimHosp MeridionalUniversidade Federal de São Paulo (UNIFESP)Forte, Luis Vicente [UNIFESP]Peluso, Cassio Morano [UNIFESP]Prandini, Mirto Nelso [UNIFESP]Godoy, RobertoRojas, Salomon Soriano Ordinola2018-06-15T14:00:15Z2018-06-15T14:00:15Z2009-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion480-487http://dx.doi.org/10.1590/S0004-282X2009000300019Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 67, n. 2B, p. 480-487, 2009.10.1590/S0004-282X2009000300019S0004-282X2009000300019.pdf0004-282XS0004-282X2009000300019http://repositorio.unifesp.br/handle/11600/42749WOS:000268140200019engArquivos De Neuro-psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-05-02T13:43:50Zoai:repositorio.unifesp.br/:11600/42749Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-05-02T13:43:50Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
Resfriamento cerebral regional para redução da temperatura e pressão intracraniana
title REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
spellingShingle REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
Forte, Luis Vicente [UNIFESP]
intracranial hypertension
intracranial pressure
cerebral hypothermia
brain edema
brain injuries
title_short REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
title_full REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
title_fullStr REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
title_full_unstemmed REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
title_sort REGIONAL COOLING FOR REDUCING BRAIN TEMPERATURE AND INTRACRANIAL PRESSURE
author Forte, Luis Vicente [UNIFESP]
author_facet Forte, Luis Vicente [UNIFESP]
Peluso, Cassio Morano [UNIFESP]
Prandini, Mirto Nelso [UNIFESP]
Godoy, Roberto
Rojas, Salomon Soriano Ordinola
author_role author
author2 Peluso, Cassio Morano [UNIFESP]
Prandini, Mirto Nelso [UNIFESP]
Godoy, Roberto
Rojas, Salomon Soriano Ordinola
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Hosp Sao Joaquim
Hosp Meridional
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Forte, Luis Vicente [UNIFESP]
Peluso, Cassio Morano [UNIFESP]
Prandini, Mirto Nelso [UNIFESP]
Godoy, Roberto
Rojas, Salomon Soriano Ordinola
dc.subject.por.fl_str_mv intracranial hypertension
intracranial pressure
cerebral hypothermia
brain edema
brain injuries
topic intracranial hypertension
intracranial pressure
cerebral hypothermia
brain edema
brain injuries
description Objective: To evaluate the effectiveness of regional cooling for reducing brain temperature (BrTe) and intracranial pressure (ICP) in patients where conventional clinical treatment has failed. Method: Regional cooling was carried out using ice bags covering the area of the craniectomy (regional method) in 23 patients. The BrTe and ICP were determined using a fiber optic sensor. Thirteen patients (56.52%) were female. The ages ranged from 16 to 83 years (mean of 48.9). The mean APACHE II score was 25 points (11-35). The patients were submitted, on mean, to 61.7 hours (20-96) of regional cooling. Results: There was a significant reduction in mean BrTe (p<0.0001-from 37.1 degrees C to 35.2 degrees C) and mean ICP (p=0.0001-from 28 mmHg to 13 mmHg). Conclusion: Our results suggest that mild brain hypothermia induced by regional cooling was effective in the control of ICP in patients who had previously undergone decompressive craniectomy.
publishDate 2009
dc.date.none.fl_str_mv 2009-06-01
2018-06-15T14:00:15Z
2018-06-15T14:00:15Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-282X2009000300019
Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 67, n. 2B, p. 480-487, 2009.
10.1590/S0004-282X2009000300019
S0004-282X2009000300019.pdf
0004-282X
S0004-282X2009000300019
http://repositorio.unifesp.br/handle/11600/42749
WOS:000268140200019
url http://dx.doi.org/10.1590/S0004-282X2009000300019
http://repositorio.unifesp.br/handle/11600/42749
identifier_str_mv Arquivos De Neuro-psiquiatria. Sao Paulo Sp: Assoc Arquivos Neuro- Psiquiatria, v. 67, n. 2B, p. 480-487, 2009.
10.1590/S0004-282X2009000300019
S0004-282X2009000300019.pdf
0004-282X
S0004-282X2009000300019
WOS:000268140200019
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos De Neuro-psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 480-487
dc.publisher.none.fl_str_mv Assoc Arquivos Neuro- Psiquiatria
publisher.none.fl_str_mv Assoc Arquivos Neuro- Psiquiatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268384646266880

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