Hypotermie u TBI – up to date 2011 - Česká společnost ...

Hypothermia in patients with brain injury: the way
forward?
Satoru Takeuchi , Hiroshi Nawashiro , Naoki Otani
In the National Acute Brain Injury Study:
Hypothermia II (NABIS: H II), reported by Guy
Clifton and colleagues,1 the target temperature of
33°C was reached in 4·4 h, and patients in the
hypothermia group were cooled for 48 h and then
rewarmed by 0·5°C every 2 h. As a result,
hypothermia did not improve outcome in these
patients.
We agree with Maas and Stocchetti2 that a period of
48 h of hypothermia might be too short to have a
beneficial effect on outcome.