Therapeutic hypothermia in patients with coagulopathy following severe traumatic brain injury.

Journal: Scandinavian journal of trauma, resuscitation and emergency medicine
Published Date: Dec 20, 2017

Abstract

BACKGROUND: Coagulopathy in traumatic brain injury (TBI) has been associated with poor neurological outcomes and higher in-hospital mortality. In general principle of trauma management, hypothermia should be prevented as it directly worsens coagulopathy. Therefore, we examined the safety of mild therapeutic hypothermia (MTH) in patients with coagulopathy following severe TBI.

Authors

  • Toru Hifumi
    Department of Emergency, Disaster and Critical Care Medicine, Kagawa University Hospital, 1750-1 Ikenobe, Miki, Kita, Kagawa, 761-0793, Japan. hifumitoru@gmail.com.
  • Yasuhiro Kuroda
    Department of Emergency, Disaster and Critical Care Medicine, Kagawa University Hospital, 1750-1 Ikenobe, Miki, Kita, Kagawa, 761-0793, Japan.
  • Kenya Kawakita
    Emergency Medical Center, Kagawa University Hospital, Kita-gun, Kagawa, Japan.
  • Susumu Yamashita
    Department of Emergency Medicine, Tokuyama Central Hospital, 1-1 Kouda, Shunan, Yamaguchi, 745-8522, Japan.
  • Yasutaka Oda
    Advanced Medical Emergency and Critical Care Center, Yamaguchi University School of Medicine, 1-1-1 Minami Kogushi, Ube, Yamaguchi, 755-8505, Japan.
  • Kenji Dohi
    Department of Emergency Medicine, School of Medicine, Showa University, 1-5-8 Hatanodai, Shinagawaku, Tokyo, 142-8666, Japan.
  • Tsuyoshi Maekawa
    Yamaguchi Prefectural Grand Medical Center, 77 Osaki, Boufu, Yamaguchi, 747-8511, Japan.

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