Induced hypothermia in adult community-acquired bacterial meningitis - more than just a possibility?

被引：19

作者：

Lepur, Dragan ^{[1
]}

Kutlesa, Marko ^{[1
]}

Barsic, Bruno ^{[1
]}

机构：

[1] Univ Zagreb, Univ Hosp Infect Dis Dr Fran Mihaljevic, Dept Neuroinfect & Intens Care Med, HR-10002 Zagreb, Croatia

来源：

JOURNAL OF INFECTION | 2011年 / 62卷 / 02期

关键词：

Hypothermia; Adult; Community-acquired; Bacterial meningitis; S; pneumoniae; MILD HYPOTHERMIA; MENINGOCOCCAL MENINGITIS; THERAPEUTIC HYPOTHERMIA; EMERGENCY HYPOTHERMIA; MODERATE HYPOTHERMIA; COMPLICATIONS; PRESSURE; FUTURE; INJURY; BRAIN;

D O I：

10.1016/j.jinf.2010.10.001

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

We present the case series of adult community-acquired bacterial meningitis treated with hypothermia. The major criteria for therapeutic hypothermia (TH) was impaired carbon dioxide reactivity (CO2R) assessed by Transcranial Doppler (TCD). In patients without temporal acoustic window, minor criteria (optic nerve sheath diameter >= 6.0 mm plus GCS <= 8) were required. According to our, although limited experience, the use of mild hypothermia in selected patients with community-acquired bacterial meningitis accompanied with appropriate monitoring could be a promising treatment tool. (C) 2010 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

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收藏

页码：172 / 177

页数：6

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