TY - JOUR AU - MACHELL, E. S. AB - TECHNIQUE OF INDUCED HYPOTHERMIA /. K. R. McMillan & E. S. Machell 1. Surface Cooling The surface cooling technique utilises the skin and sub- cutaneous tissues as a natural heat exchanger. For efficient heat exchange it is necessary to maintain the peripheral circulation in the presence of an adequate temperature gradient between the blood and skin surface. Hence it is TECHNIQUE OF INDUCED essential to obtund the natural defence reactions of the body to cold in order to promote peripheral heat exchange and to HYPOTKFRMTA prevent the increased metabolism and heat production due to the muscular contractions of shivering. The two prime essentials necessary for the induction of hypothermia by I. K. R. McMTT.LAN F.R.C.S. surface cooling are (i) adequate peripheral vasodilatation; (ii) complete abolition of shivering (Dundee & King, 1959). E. S. MACHELL F.F.A.R.C.S. The efficiency of this surface heat exchange will vary from Cardiac and Thoracic Unit subject to subject, depending on the extent of the superficial Southampton Chest Hospital heat insulation by fat and hair. The amount of heat required to be removed from the body in order to lower body- temperature will depend on the metabolic rate. Pre-medication Surface cooling and anaesthesia will facilitate the TI - THE TECHNIQUE OF INDUCED HYPOTHERMIA JF - British Medical Bulletin DO - 10.1093/oxfordjournals.bmb.a069860 DA - 1961-01-01 UR - https://www.deepdyve.com/lp/oxford-university-press/the-technique-of-induced-hypothermia-E4m3VVd1Bw SP - 32 EP - 36 VL - 17 IS - 1 DP - DeepDyve ER -