•  
  •  
 

Central Asian Journal of Medicine

Abstract

Objective: Determine the effect of craniocerebral hypothermia and nasopharyngeal cooling on cerebral blood flow, intracranial pressure, and cerebral perfusion pressure. Material and methods: We examined 41 patients with craniocerebral trauma treated in surgical intensive care units No. 1, No. 2 of the second clinic of TMA for the period from September 2015 to December 2017. Results: In the first group there was a decrease in ICP by 27.5% to the third day of therapy, an increase in cerebral blood flow and CPP by 11.5%, in contrast to the baseline values. In the second group there was a reduction in ICP by 29.8% to the third day of therapy, an increase in cerebral blood flow and CPP by 11.4%, in contrast to the baseline values. Conclusions: Early application of craniocerebral hypothermia and nasopharyngeal cooling contributes to a decrease in the level of maximum rise in ICP; the speedy normalization of ICP.

First Page

47

Last Page

56

References

1. Avakov V.Ye., Shakhova I.A. Nazofaringeal'naya gipotermiya golovnogo mozga pri porazhenii stvolovykh struktur, vyzvannom cherepno-mozgovoy travmoy, otsenka yeyo effektivnosti: Ucheb.-metod. rekomendatsii. – Tashkent, 2014. – 30 s. 2. Sobirov D.M., Krasnekova MB. Neyroprotektsiya pri travmaticheskom povrezhdenii golovnogo mozga. // Vestn. ekstr. meditsiny. – 2009. – №4. – C. 50-54. 3. Esquenazi Y. et al. Critical Care Management of Cerebral Edema in Brain Tumors // J. Intens. Care Medicine. – 2017. – Vol. 32. – P. 15-24. 4. Geeraerts Th., Velly L. et al. Management of severe traumatic brain injury (first 24 hours) // Anaesth. Crit. Care Pain. Med. – 2018. – Vol. 37. – P. 171-186. 5. Kees M. Induced hypothermia and fever control for prevention and treatment of neurological injuries // Lancet. – 2008. – Vol. 371. – P 1955-1969. 6. Peter J.D. et al. Hypothermia for Intracranial Hypertension after Traumatic Brain Injury // New Engl. J. Med. – 2015. – Vol. 373. –P. 2403-2412. 7. Tang A. Intracranial pressure monitor in patients with traumatic brain injury // J. Surg. Res. – 2015. – Vol. 194. – P. 565-570. 8. Young A.R., Ali C., Duretete A. et al. Neuroprotection and stroke: time for a compromise // J. Surg. Res. – 2007. – Vol. 103. – P. 1302-1309.

Share

COinS