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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-40085

Mink, S; Schwarz, U; Mudra, R; Gugl, C; Fröhlich, J; Keller, E (2011). Treatment of resistant fever: New method of local cerebral cooling. Neurocritical Care, 15(1):107-112.

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Abstract

BACKGROUND: Fever in neurocritical care patients is common and has a negative impact on neurological outcome. The purpose of this prospective observational study was (1) to evaluate the practicability of cooling with newly developed neck pads in the daily setting of neurointensive care unit (NICU) patients and (2) to evaluate its effectiveness as a surrogate endpoint to indicate the feasibility of neck cooling as a new method for intractable fever.

METHODS: Nine patients with ten episodes of intractable fever and aneurysmal subarachnoid hemorrhage were treated with one of two different shapes of specifically adapted cooling neck pads. Temperature values of the brain, blood, and urinary bladder were taken close meshed after application of the cooling neck pads up to hour 8.

RESULTS: The brain, blood, and urinary bladder temperatures decreased significantly from hour 0 to a minimum in hour 5 (P < 0.01). After hour 5, instead of continuous cooling in all the patients, the temperature of all the three sites remounted.

CONCLUSION: This study showed the practicability of local cooling for intractable fever using the newly developed neck pads in the daily setting of NICU patients.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
DDC:610 Medicine & health
Language:English
Date:2011
Deposited On:07 Feb 2011 08:50
Last Modified:17 Jul 2014 06:57
Publisher:Springer
ISSN:1541-6933
Additional Information:The original publication is available at www.springerlink.com
Publisher DOI:10.1007/s12028-010-9451-1
PubMed ID:20886310
Citations:Web of Science®. Times Cited: 2
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Scopus®. Citation Count: 3

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