Therapeutic hypothermia

 

The most effective solution of the problem of irreversible brain damage during complete cerebral circulation arrest is neuroprotection. Neuroprotection – is the prolongation of the period of reversible brain damage including cases of clinical death. According to the American Society of Hypothermia Medicine and Intensive Cold Emergency Care (2010), the only proved method of neuroprotection is therapeutic hypothermia. Until the present time, there haven’t been developed more effective methods than hypothermia for brain protection from ischemic and reperfusion complications.

The idea that therapeutic hypothermia is very effective in emergency conditions is well known due to the fact, that this method has been actively used in leading overseas hospitals during the last 10 years. Since 2009 hypothermia is included in cardio-pulmonary reanimation protocols, brain injuries first aid protocols, newborn asphyxia first aid protocols in the USA and European countries. Hypothermia is advised by European Standards Protocols for first aid (Euroreanimation-2015) and American association of cardiologists (“American Heart Association 2015”).

The document on the right is the theoretical justification of the therapeutic effects of the clinical application of low-temperature treatment in various medical fields, including and guidelines for induction of therapeutic hypothermia in case of acute blood circulation dysfunction of the brain.

The material is based on our scientific research of the application of therapeutic hypothermia in case of cerebral injury (acute impairment of brain blood flow, neurotrauma).