Hypothermia in multisystem trauma

Eugene Y. Fukudome, Hasan B. Alam

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Exsanguinating hemorrhage is a common clinical feature of multisystem trauma that results in death or severe disability. Cardiovascular collapse resulting from hemorrhage is unresponsive to conventional methods of cardiopulmonary resuscitation. Even when bleeding is controlled rapidly, adequate circulation cannot be restored in time to avoid neurologic consequences that appear after only 5 mins of cerebral ischemia and hypoperfusion. Reperfusion adds further insult to injury. A novel solution to this problem would be to institute a therapy that makes cells and organs more resistant to ischemic injury, thereby extending the time they can tolerate such an insult. Hypothermia can attenuate some effects of ischemia and reperfusion. Accumulating preclinical data demonstrate that hypothermia can be induced safely and rapidly to achieve emergency preservation for resuscitation during lethal hemorrhage. Hypothermia may be an effective therapeutic approach for otherwise lethal traumatic hemorrhage, and a clinical trial to determine its utility is warranted.

Original languageEnglish (US)
Pages (from-to)S265-S272
JournalCritical care medicine
Volume37
Issue numberSUPPL. 7
DOIs
StatePublished - Jul 2009
Externally publishedYes

Keywords

  • Cardiac arrest
  • Emergency preservation for resuscitation
  • Exsanguination
  • Hemorrhagic shock
  • Lethal injury
  • Resuscitation
  • Suspended animation
  • Therapeutic hypothermia
  • Trauma

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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