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Therapeutic hypothermia in drowning induced hypoxic brain injury: a case report
Ramesh K Batra1, Jonathan J Paddle
1Intensive Care Unit, Royal Cornwall Hospital NHS Trust, Truro, UK.
Background:
Although therapeutic hypothermia for neuroprotection has been in use for over half a century but its use has been controversial in absence of proper guidelines. However for over two decades there has been revived interest in mild therapeutic hypothermia (32 - 34 degrees C) for neuroprotection.
Case:
A 17 year-old female tourist was rescued from sea. She received cardio-pulmonary resuscitation for about 16 minutes. But she had sustained significant neurological insult as a result of hypoxic brain injury. Therapeutic hypothermia was added to her regime of neuroprotection in intensive care unit, and her neurological status improved in just 8 hours with full correction of her coma score by day 4.
