The evidence is accumulating that hyperthermia following severe traumatic brain injury (TBI) occurs frequently and worsens neurological outcomes. An interesting paper, Neurocrit Care. 2009;11(1):82-7, showed improved neurological incomes in patients who maintained normothermia. Based on this, our institution has developed a protocol for use in our neurocritical care patients to maintain normothermia.

Inclusion

  • TBI and SAH patients with a GCS 8 or less with a temperature >38 C.
  • Intubated and on a ventilator.
  • ICP monitoring.

Initiate

  • 2 temperature measurement sources needed
    • Foley temp probe is requir