Application and Limitations of Hypothermia Therapy for Traumatic Brain Injury(<SPECIAL ISSUE>Traumatic Head Injury Update)

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  • Suehiro Eiichi
    Department of Neurosurgery, Kenwakai Ohtemachi Hospital:Department of Neurosurgery, Yamaguchi University School of Medicine
  • Fujisawa Hirosuke
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Koizumi Hiroyasu
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Yoneda Hiroshi
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Ishihara Hideyuki
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Nomura Sadahiro
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Fujii Masami
    Department of Neurosurgery, Yamaguchi University School of Medicine
  • Suzuki Michiyasu
    Department of Neurosurgery, Yamaguchi University School of Medicine

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  • 頭部外傷に対する低体温療法の適応と限界(<特集>頭部外傷update)

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No treatment method for severe traumatic brain injury (TBI) has proven effective to replace hypothermia therapy, emphasizing the major role of this therapy for patients with TBI. To improve the effectiveness of hypothermia therapy, earlier hypothermia induction is necessary, and management of brain temperature should be based on individual pathophysiology through neuromonitoring during the maintenance and rewarming periods of this therapy. Recently, the protective effects of hypothermia therapy have been confirmed for patients with severe TBI after craniotomy. The outcome of TBI patients with hypothermia therapy is expected to improve with the use of the brain temperature management method and selection of appropriate pathophysiology.

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