Neurocritical Care

, Volume 12, Issue 3, pp 414–420

How I Cool Children in Neurocritical Care

  • Ericka L. Fink
  • Patrick M. Kochanek
  • Robert S. B. Clark
  • Michael J. Bell
Review

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°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.

Keywords

Neurocritical care Hypothermia Child Cardiac arrest Traumatic brain injury 

Supplementary material

12028_2010_9334_MOESM1_ESM.docx (20 kb)
Supplementary material 1 (DOCX 20 kb) Appendix: Admission electronic order set for children surviving cardiac arrest
12028_2010_9334_MOESM2_ESM.docx (17 kb)
Supplementary material 2 (DOCX 16 kb)

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Ericka L. Fink
    • 1
    • 2
  • Patrick M. Kochanek
    • 1
    • 2
  • Robert S. B. Clark
    • 1
    • 2
  • Michael J. Bell
    • 1
    • 2
  1. 1.Department of Critical Care MedicineChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA
  2. 2.The Safar Center for Resuscitation ResearchDepartment of Critical Care MedicinePittsburghUSA

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