A. Mureșan 1, R. Macovei 2, 3, D. Alexianu 2, M. Prăzaru 2
1 Centre Hospitalier Univesitaire Amiens – Anesthesie A
2 Spitalul Clinic de Urgență București – Secția Anestezie Terapie Intensivă
3 Centrul de Cercetări Știintifice Medico-Militare București
Abstract
Therapeutic hypothermia may be of benefit in improving neurological outcomes in hypoxic cerebral injury after cardiac arrest. Its positive effects are enlarged to different kinds of pathologies including uncontrolled in tracran ial hypertension after traumatic brain injury, after ischemic acute stroke, myocardial infarction and even in case of acut e liver failure. Hypothermia is part of surgery protocol for heart and great vessels surgery. Neuroprotective posit ive results are reported by several clinical studies but remains in debate questions like target temperature, cooling methods, duration of cooling, rewarming and hypothermia itself.