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.
- TBI and SAH patients with a GCS 8 or less with a temperature >38 C.
- Intubated and on a ventilator.
- ICP monitoring.
- 2 temperature measurement sources needed
- Foley temp probe is requir