Acute Brain Injury and Therapeutic Hypothermia in the PICU: A Rehabilitation Perspective

Overview

Journal J Pediatr Rehabil Med

Publisher Sage Publications

Specialties Pediatrics
Rehabilitation Medicine

Date 2011 Jul 28

PMID 21791822

Authors

Ericka L Fink

Sue R Beers

Mary Louise Russell

Michael J Bell

Affiliations

Soon will be listed here.

Abstract

Acquired brain injury from traumatic brain injury, cardiac arrest (CA), stroke, and central nervous system infection is a leading cause of morbidity and mortality in the pediatric population and reason for admission to inpatient rehabilitation. Therapeutic hypothermia is the only intervention shown to have efficacy from bench to bedside in improving neurological outcome after birth asphyxia and adult arrhythmia-induced CA, thought to be due to its multiple mechanisms of action. Research to determine if therapeutic hypothermia should be applied to other causes of brain injury and how to best apply it is underway in children and adults. Changes in clinical practice in the hospitalized brain-injured child may have effects on rehabilitation referral practices, goals and strategies of therapies offered, and may increase the degree of complex medical problems seen in children referred to inpatient rehabilitation.

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