Retrospective Analysis of Esophageal Heat Transfer for Active Temperature Management in Post-cardiac Arrest, Refractory Fever, and Burn Patients.

Retrospective Analysis of Esophageal Heat Transfer for Active Temperature Management in Post-cardiac Arrest, Refractory Fever, and Burn Patients. Mil Med. 2018 Mar 01;183(suppl_1):162-168 Authors: Naiman M, Markota A, Hegazy A, Dingley J, Kulstad E Abstract Core temperature management is an important aspect of critical care; preventing unintentional hypothermia, reducing fever, and inducing therapeutic hypothermia when appropriate are each tied to positive health outcomes. The purpose of this study is to evaluate the performance of a new temperature management device that uses the esophageal environment to conduct heat transfer. De-identified patient data were aggregated from three clinical sites where an esophageal heat transfer device (EHTD) was used to provide temperature management. The device was evaluated against temperature management guidelines and best practice recommendations, including performance during induction, maintenance, and cessation of therapy. Across all active cooling protocols, the average time-to-target was 2.37 h and the average maintenance phase was 22.4 h. Patients spent 94.9% of the maintenance phase within ±1.0°C and 67.2% within ±0.5°C (574 and 407 measurements, respectively, out of 605 total). For warming protocols, all of the patient temperature readings remained above 36°C throughout the surgical procedure (average 4.66 h). The esophageal heat transfer device met performance expectations across a ...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research

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CHICAGO (AP) — The dangerous cold and heavy snow that hobbled the northern U.S. this week has retreated, but not before exacting a human toll: more than two dozen weather-related deaths in eight states and hundreds of injuries, including frostbite, broken bones, heart attacks and carbon monoxide poisoning. In Illinois alone, hospitals reported more than 220 cases of frostbite and hypothermia since Tuesday, when the polar vortex moved in and overnight temperatures plunged to minus 30 (minus 34 Celsius) or lower — with wind chills of minus 50 (minus 45 Celsius) or worse in some areas. Hennepin Healthcare in Minne...
Source: JEMS: Journal of Emergency Medical Services News - Category: Emergency Medicine Tags: Patient Care News Source Type: news
We report that ketamine dose-dependently induced hypothermia, and mice did not become tolerant to this effect of ketamine over the course of three injections spaced at once per week. Ketamine-induced hypothermia was significantly attenuated by pretreatment with the selective 5-HT2C receptor agonist WAY-163909 but not by pretreatment with the mixed 5-HT2A/2C receptor agonist 2,5-dimethoxy-4-iodoamphetamine (DOI). Moreover, the blockade of ketamine-induced hypothermia by WAY-163909 was reversed by pretreatment with the selective 5-HT2C receptor antagonist SB-242084. These findings demonstrate that stimulation of 5-HT2C recep...
Source: European Journal of Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Eur J Pharmacol Source Type: research
Publication date: Available online 3 November 2018Source: Journal of Clinical NeuroscienceAuthor(s): Aimalohi Esechie, Anish Bhardwaj, Todd Masel, Mukaila RajiAbstractElderly individuals are a fast-rising segment of the US population and are at high risk of permanent disability and premature death secondary to traumatic injuries such as burn injury. The current paper will review the extant literature to understand the prevalence of burn injury in the elderly, the neurocognitive complications unique to the aged that places this cohort at risk, and evidence-based recommendations to reduce the early and late neurocognitive ef...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Discussion Veruccae plantaris or plantar warts are caused by Human Papillomavirus which causes benign epidermal tumors that often have a cauliflower pattern on the foot that may be elevated or flush with the surrounding skin. Lesions may resemble calluses but the normal footprint pattern is disrupted. The lesions often have pinpoint hemorrhages that appear as black dots. In an immunocompetent individual, the lesions usually have spontaneous resolution within 2 years but the infection may spread to create additional lesions. The lesions may also cause pain or discomfort because of their size or location. There are numerous...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Autologous skin grafting remains the gold-standard and most popular form of definitive coverage for burn wounds after tangential excision [1]. Donor site bleeding, however, is an inevitable and undesired consequence of skin graft harvesting. This may be significant in patients with major burns who benefit from a large surface area of skin graft for wound coverage, and is commonly exacerbated in these situations by coagulopathy from acidosis, hypovolaemia or excessive volume expansion, hypothermia, and sepsis [2].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
In patients with severe burn, changes in hemostasis result from trauma itself (e.g. tissue hypoperfusion, hypothermia, altered platelet function, systemic inflammatory response) and from therapeutic interventions (e.g. hemodilution, blood loss due to wound excision) [1 –4]. Results of conventional coagulation assays measured in daily clinical practice [e.g. prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT), low platelet count] are often interpreted as coagulopathy implying a bleeding tendency [5].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
CONCLUSIONS: As per the results, the investigators believe these hyperthermic- and hypothermic-induced alterations in biomechanical skin properties are due to increased blood flow, in addition to a reversible increase in interstitial and intracellular fluid contents, thermal contraction, and expansion of collagen and elastic fibers, all of which are precursors to irreversible damage. PMID: 30256752 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
This article contributes an example of the onset of severe hypothermia in burn victims due to negligence in thermal insulation.•Key implications for emergency nursing practice found in this article are the awareness of the impact of post-traumatic hypothermia on mortality and the need of careful insulation in burn victims. Maintaining normothermia can increase the chances of patient’s survival.
Source: Journal of Emergency Nursing - Category: Nursing Source Type: research
Publication date: August 2018Source: Burns, Volume 44, Issue 5Author(s): A.D. Rogers, M. Saggaf, N. ZiolkowskiAbstractBackgroundPatients with extensive burn injuries are susceptible to a host of accompanying adverse effects should they develop perioperative hypothermia, which occurs in up to ¼ of all major burn cases. This quality improvement project aimed to reduce the incidence of perioperative hypothermia to below 10% of cases in patients with major burn (Total Body Surface Area [TBSA] >15%), within a one year period.MethodsA baseline diagnostic phase was undertaken to provide a greater understanding of...
Source: Burns - Category: Dermatology Source Type: research
Burns are traumatic acute wounds which can be life-threatening. Despite improvement in burn wound care, severe burns are associated with high morbidity and disability [1,2]. For partial thickness and full thickness burns, acute burn management involves multiple activities including protecting the wound from further injury, initial cleansing and debridement, and determination of dressings with or without a topical antimicrobial agent [3,4]. Fluid resuscitation, prevention of hypothermia and pain management are also critical aspects of burn care and management [2,5].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
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