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


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.


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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