神経集中治療—体温管理療法

Neurointensive Care:Targeted Temperature Management

Point

・体温管理療法は頭蓋内圧コントロールが可能であり，重症頭部外傷や脳卒中に応用できる．

・脳神経救急疾患に伴う発熱は，神経学的転帰不良因子であり，発熱管理を行うことは重要である．

・発熱管理は単にデバイスを稼働させるだけではなく，二次性脳損傷を予防するための神経集中治療の一環として行う必要がある．

　The neuroprotective effects of hypothermia therapy have been sufficiently demonstrated; however, the conditions under which it is considered effective have become limited. Recently, the term “temperature management therapy” has been more frequently used than “hypothermia therapy.”In neurointensive care, in the acute phase of neurological disorders, not only lowering body temperature but also targeted temperature management according to each case is an important technique. In our facility, targeted temperature management is primarily used to control intracranial pressure and fever. It is important to clarify the purpose of temperature management and emphasize neurointensive care that minimizes secondary brain damage instead of focusing only on temperature control.