Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Comparison of cooling methods to induce and maintain normoand hypothermia in intensive care unit patients: a prospective intervention study. | Available online http content 11 4 R91 Research Comparison of cooling methods to induce and maintain normo-and hypothermia in intensive care unit patients a prospective intervention study Cornelia W Hoedemaekers Mustapha Ezzahti Aico Gerritsen and Johannes G van der Hoeven Department of Intensive Care Radboud University Nijmegen Medical Centre Nijmegen The Netherlands Corresponding author Cornelia W Hoedemaekers Received 21 May 2007 Revisions requested 14 Jun 2007 Revisions received 4 Jul 2007 Accepted 24 Aug 2007 Published 24 Aug 2007 Critical Care 2007 11 R91 doi cc61 04 This article is online at http content 11 4 R91 2007 Hoedemaekers et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Background Temperature management is used with increased frequency as a tool to mitigate neurological injury. Although frequently used little is known about the optimal cooling methods for inducing and maintaining controlled normo- and hypothermia in the intensive care unit ICU . In this study we compared the efficacy of several commercially available cooling devices for temperature management in ICU patients with various types of neurological injury. Methods Fifty adult ICU patients with an indication for controlled mild hypothermia or strict normothermia were prospectively enrolled. Ten patients in each group were assigned in consecutive order to conventional cooling that is rapid infusion of 30 ml kg cold fluids ice and or coldpacks cooling with water circulating blankets air circulating blankets water circulating gel-coated pads and an intravascular heat exchange system. In all patients the speed of cooling expressed as C h was measured. After the target
