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  Česky / Czech version Anest. neodkl. Péče, 13, 2002, No. 6, p. 279–280
 
Biochemical Values during Mild Hypothermia Therapy in Severe Brain Injured Patients 
GÁL R., ČUNDRLE I., ZIMOVÁ I. 

ARO, FN Brno-Bohunice, přednosta doc. MUDr. I. Čundrle, CSc.
 


Summary:

       A laboratory values of 15 patients with severe brain injury, in which was used deliberate mild hypothermia 34 °C during 72 hours as a component of intensive care management together with standard treatment protocol according to European Brain Injury Consortium, are presented. Surface cooling was initiated within 15 hours of injury in all patients. Hypothermia to core temperature 34 °C was achieved by forced air cooling in combination with circulating-water mattress cooling and maintained for 72 hours. After this time were patients rewarmed to 36,5 °C of core temperature. The laboratory values were obtained from 9 examinations of arterial blood in 8 hours period during hypothermia therapy and during normothermia too. For statistical analysis was used Wilcoxon test. There were no statistically significant changes in serum levels of PaO2, PaCO2, urea, sodium and glycaemia in the course of mild hypothermia therapy compare to normothermia values.

        Key words: brain injury – mild hypothermia – laboratory values
       

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