Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children

Article


Foster, Kelly, Stocker, C. and Schibler, A.. 2010. "Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children." Australian Critical Care. 23 (1), pp. 4-11. https://doi.org/10.1016/j.aucc.2009.11.001
Article Title

Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children

ERA Journal ID14054
Article CategoryArticle
AuthorsFoster, Kelly (Author), Stocker, C. (Author) and Schibler, A. (Author)
Journal TitleAustralian Critical Care
Journal Citation23 (1), pp. 4-11
Number of Pages8
Year2010
Place of PublicationUnited States
ISSN1036-7314
1878-1721
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aucc.2009.11.001
Web Address (URL)https://www.sciencedirect.com/science/article/abs/pii/S1036731409001611
Abstract

Background
Despite being the leading cause of death and disability in the paediatric population, traumatic brain injury (TBI) in this group is largely understudied. Clinical practice within the paediatric intensive care unit (PICU) has been based upon adult guidelines however children are significantly different in terms of mechanism, pathophysiology and consequence of injury.

Aim
To review TBI management in the PICU and gain insight into potential management strategies.

Method
To conduct this review, a literature search was conducted using MEDLINE, PUBMED and The Cochrane Library using the following key words; traumatic brain injury; paediatric; hypothermia. There were no date restrictions applied to ensure that past studies, whose principles remain current were not excluded.

Results
Three areas were identified from the literature search and will be discussed against current acknowledged treatment strategies: Prophylactic hypothermia, brain tissue oxygen tension monitoring and decompressive craniectomy.

Conclusion
Previous literature has failed to fully address paediatric specific management protocols and we therefore have little evidence-based guidance. This review has shown that there is an emerging and ongoing trend towards paediatric specific TBI research in particular the area of moderate prophylactic hypothermia (MPH).

KeywordsTraumatic brain injury; Paediatric; Hypothermia
ANZSRC Field of Research 2020420501. Acute care
Institution of OriginUniversity of Southern Queensland
ISBN10367314
Byline AffiliationsMater Group, Australia
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