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Original Research

Open Access

Induced mild hypothermia in children

  • RIMANTAS KEVALAS1
  • DOVILE GRINKEVICIUTE1
  • VAIDOTAS GURSKIS1
  • ALGIMANTAS MATUKEVIČIUS2
  • VYTAUTAS RAGAIŠIS2
  • VIDMANTAS BARAUSKAS3

1,Department of Pediatric Diseases Lithuanian University of Health Sciences;Department of Neurosurgery Lithuanian University of Health Sciences;Department of Pediatric Surgery Lithuanian University of Health Sciences

DOI: 10.22514/SV72.102012.2 Vol.7,Issue 2,October 2012 pp.11-16

Published: 29 October 2012

*Corresponding Author(s): RIMANTAS KEVALAS E-mail: rimantas_kevalas@hotmail.com

Abstract

The objective of this study was to measure outcomes and to determine the safety and effectiveness of mild induced hypot-hermia in children after traumatic and posthypoxic brain injury. 

Methods. Forty patients, following traumatic or posthypoxic brain injury, were involved in the study. Mean age was 10.7 ± 0.8 years. Median GCS (Glasgow Coma Scale) was 6.0 (4-7) and mean PIM2 (Pediatric Index of Mortality) 14.6 ± 3.8 %. Results. GOS (Glasgow Outcome Scale) of 5 was assigned for 15 (37.5%) patients, GOS 4 for 14 (35.0%), GOS 3 for 7 (17.5%) and GOS 2 for 4 (10%) patients. The average GOS in patients after severe head trauma was 3.6 ± 0.9 points and in patients with posthypoxic brain injury 5 points, (p < 0.05). No life threatening complications occurred.

Conclusion. Mild induced hypothermia can be safely used in pediatric patents after severe traumatic or posthypoxic brain injury. This method may be of benefit while improving outcomes in children. 

Keywords

traumatic brain injury, posthypoxic brain injury, children, hypothermia, outcome, Pediatric Index of Mortality

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RIMANTAS KEVALAS,DOVILE GRINKEVICIUTE,VAIDOTAS GURSKIS,ALGIMANTAS MATUKEVIČIUS,VYTAUTAS RAGAIŠIS,VIDMANTAS BARAUSKAS. Induced mild hypothermia in children. Signa Vitae. 2012. 7(2);11-16.

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