If you read the post the ICP had stabilized when the drain was pulled and as far as using hypothermia in a Hunt-Hess grade 5, whats the point? The real danger is from cerebral vasospasm, and cooling the patient will not effect that to any significant degree, I'd be more interested in triple H therapy in that case, or cerebral angioplasty at the first sign of vasospasm, with a ventriculostomy to help control the ICP. As to a lot has changed in NSICU in 6 years, actually it's 5, but my friends and wife still work bedside, so I'm not as removed as you assume, and not that much has changed! However I would be interested to know if others are using hypothermia as much as your institution, also I'd be interested in the protocols and standards for the use: are the patients swan'd? obviously vented, what is considered the optimal temp, is there any specialized equipement needed, beds, cooling systems, and are there any particular electrolyte problems that occur?
Thanks TNN talk to you later.