Temperature variability in the day–night cycle is associated with further intracranial pressure during therapeutic hypothermia
Autor: | Eva Annen, Oliver Boss, Emanuela Keller, Christopher Sikorski, Faraneh Farokhzad, Adriano Barreto Nogueira |
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Přispěvatelé: | University of Zurich, Barreto Nogueira, Adriano |
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Subarachnoid hemorrhage
Intracranial Pressure Sedation Coefficient of variation lcsh:Medicine 610 Medicine & health Hypothermia General Biochemistry Genetics and Molecular Biology 10180 Clinic for Neurosurgery 03 medical and health sciences 0302 clinical medicine Cerebral vasospasm 1300 General Biochemistry Genetics and Molecular Biology Hypothermia Induced medicine Humans 030212 general & internal medicine Circadian rhythm Intracranial pressure Aged business.industry Research lcsh:R Temperature Prediction interval General Medicine Middle Aged medicine.disease Anesthesia Female 10023 Institute of Intensive Care Medicine medicine.symptom business Prediction 030217 neurology & neurosurgery Multimodality monitoring |
Zdroj: | Journal of Translational Medicine Journal of Translational Medicine, Vol 15, Iss 1, Pp 1-6 (2017) |
ISSN: | 1479-5876 |
Popis: | Background To assess whether circadian patterns of temperature correlate with further values of intracranial pressure (ICP) in severe brain injury treated with hypothermia. Methods We retrospectively analyzed temperature values in subarachnoid hemorrhage patients treated with hypothermia by endovascular cooling. The circadian patterns of temperature were correlated with the mean ICP across the following day (ICP24). Results We analyzed data from 17 days of monitoring of three subarachnoid hemorrhage patients that underwent aneurysm coiling, sedation and hypothermia due to refractory intracranial hypertension and/or cerebral vasospasm. ICP24 ranged from 11.5 ± 3.1 to 24.2 ± 6.2 mmHg. The ratio between the coefficient of variation of temperature during the nocturnal period (18:00–6:00) and the preceding diurnal period (6:00–18:00) [temperature variability (TV)] ranged from 0.274 to 1.97. Regression analysis showed that TV correlated with ICP24 (Pearson correlation = −0.861, adjusted R square = 0.725, p |
Databáze: | OpenAIRE |
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