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HYPOTHERMIA A technique for temperature control in hypothermia GEORGE F. GOWEN Yale University School of Medicine; West Huven, Connecticut and Veterans Administration Hospital, HEN HYPOTHERMIA is induced by surface cooling methods the accurate control of the temperature may be difficult or impossible. It is important that the temperature be maintained in the range of 28-32 C, that is, the range of maximum effectiveness with the least risk (I). Below 28 C, cardiac arrhythmias are likely to occur, especially ventricular fibrillation, and it is extremely difficult to defibrillate the cool heart. To avoid the pitfalls of the lower temperature it is common practice to remove the surface cooling agent (refrigerated blankets, ice packs, ice water baths) when the patientâs temperature reaches 33 C, so that the drift of temperature will level off in a safe range around 30 C, It would be of great value to be able to arrest the fall in temperature or even reverse it to a rising temperature more rapidly than present techniques permit. To investigate this problem experiments were designed to attempt body temperature control in dogs by irrigation of a balloon in the rectosigmoid. -Received for publication 6 March I 96 I, TIXHNIQUE
Journal of Applied Physiology – The American Physiological Society
Published: Sep 1, 1961
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