Esophageal Temperature Management in Patients Suffering from Traumatic Brain Injury
| Autor: | Alexander Tsarev, Faraaz Bhatti, Melissa Naiman, Erik Kulstad |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Esophageal temperature cooling strategies Traumatic brain injury medicine.medical_treatment temperature mechanisms Targeted temperature management Critical Care and Intensive Care Medicine targeted temperature management Young Adult 03 medical and health sciences Esophagus 0302 clinical medicine Hypothermia Induced Brain Injuries Traumatic medicine Humans In patient Prospective Studies Brain trauma Aged Cause of death business.industry traumatic brain injury 030208 emergency & critical care medicine Original Articles Emergency department Middle Aged hyperthermia medicine.disease humanities Anesthesiology and Pain Medicine heat transfer device Emergency medicine esophageal temperature brain trauma business 030217 neurology & neurosurgery |
| Zdroj: | Therapeutic Hypothermia and Temperature Management |
| ISSN: | 2153-7933 2153-7658 |
| DOI: | 10.1089/ther.2018.0034 |
| Popis: | Traumatic brain injury (TBI) is a leading cause of death in the United States, and represents 2.5 million Emergency Department attendances, admissions into hospital, and deaths. A range of temperature modulating devices have been used to proactively cool TBI patients; however, there are currently no uniform targeted temperature management (TTM) guidelines in this patient population. Esophageal temperature management (ETM) is a relatively new TTM modality and the purpose of this study is to determine whether ETM is effective in controlling core temperature in TBI cases. This prospective interventional trial was a single-site study that enrolled 12 patients who received a TTM protocol using ETM. Eleven out of 12 patients reached target temperature during the first 10 hours of treatment. A total of 480 temperature measurements were recorded; 85% of the total measurements were within ±1°C of target temperature (408 measurements) and 75% were within ±0.5°C of target temperature (360 measurements). The average time to target was 5.83 ± 5.01 hours (range 1–20), with an average cooling rate of 0.58°C/h (range 0.15–1.5°C/h). This prospective interventional trial supports that ETM is a feasible TTM modality for severe TBI cases. The esophageal heat transfer device used in this study demonstrated comparable or superior performance to other commercially available TTM modalities, and the low adverse event rate may offer advantages over more invasive methods with reported higher complication rates. |
| Databáze: | OpenAIRE |
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