Mild Hypothermia for Severely Head-injured Patients with Low Intracranial Pressure (ICP).
Complications associated with head injury and hypothermia were monitored; the only difference was a significantly higher incidence of diabetes insipidus with hypernatremia in the hypothermic group (p [is less than] .01). Mild hypothermia did not provide any advantage over normothermia in this patient population.
Although this study utilized a tight intervention protocol and randomization, the sample size was small and heterogeneous. Certainly the "standard" interventions used in this study are also controversial. As with many head injury studies, interventions that improve outcome remain elusive.
[1.] Shiozaki T, Kato A, Taneda M et al: Little benefit from mild hypothermia therapy for severely head-injured patients with low intracranial pressure. J Neurosurg 1999; 91: 185-191.
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|Publication:||Journal of Neuroscience Nursing|
|Article Type:||Brief Article|
|Date:||Dec 1, 1999|
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