scholarly journals Effects of therapeutic hypothermia on multiorgan dysfunction in asphyxiated newborns: whole-body cooling versus selective head cooling

2009 ◽  
Vol 29 (8) ◽  
pp. 558-563 ◽  
Author(s):  
S Sarkar ◽  
J D Barks ◽  
I Bhagat ◽  
S M Donn
Keyword(s):  
Therapeutic Hypothermia ◽  
Whole Body ◽  
Multiorgan Dysfunction ◽  
Head Cooling ◽  
Body Cooling ◽  
Whole Body Cooling

scholarly journals Therapeutic hypothermia in asphyxiated newborns: selective head cooling vs. whole body cooling — comparison of short term outcomes

2019 ◽  
Vol 90 (7) ◽  
pp. 403-410 ◽  
Author(s):  
Ewa Matylda Gulczynska ◽  
Janusz Gadzinowski ◽  
Marcin Kesiak ◽  
Barbara Sobolewska ◽  
Joanna Caputa ◽  
...  
Keyword(s):  
Therapeutic Hypothermia ◽  
Whole Body ◽  
Short Term ◽  
Head Cooling ◽  
Body Cooling ◽  
Whole Body Cooling

Subcutaneous fat necrosis, a rare but serious side effect of hypoxic-ischemic encephalopathy and whole-body hypothermia

2019 ◽  
Vol 47 (9) ◽  
pp. 986-990 ◽  
Author(s):  
Mahdi Alsaleem ◽  
Lina Saadeh ◽  
Valerie Elberson ◽  
Vasantha H.S. Kumar
Keyword(s):  
Therapeutic Hypothermia ◽  
Subcutaneous Fat ◽  
Whole Body ◽  
Subcutaneous Fat Necrosis ◽  
P Values ◽  
Life Threatening ◽  
The Mean ◽  
Body Cooling ◽  
Whole Body Cooling ◽  
Ischemic Encephalopathy

Abstract Objective To describe the clinical characteristics and risk factors in infants with subcutaneous fat necrosis (SFN) following therapeutic hypothermia for hypoxic-ischemic encephalopathy (HIE). Methods A case-control study was performed by a retrospective chart review of infants with moderate or severe HIE admitted to a level IV regional perinatal center and who underwent whole-body cooling. Results A total of 14 (8.1%) of 171 infants with moderate or severe HIE who underwent whole-body cooling developed SFN during hospitalization. There were more females [71% (10/14)] and large-for-gestational age (LGA) infants [28% (4/14)] in the SFN group vs. 36% females (57/157) and 8% LGA infants (13/157) in the group without SFN (P-values of 0.009 and 0.015, respectively). The mean lowest platelet count was lower 108 ± 55 109/L vs. 146 ± 62 109/L and the mean highest calcium level was higher 11.3 ± 2.5 vs. 10.6 ± 0.8 mg/dL in infants with SFN vs. infants without SFN, respectively (P-values of 0.0078 and 0.006, respectively). Distribution of skin lesions followed distinctive patterns representing the areas with direct contact with the cooling blanket. One infant developed severe, life-threatening hypercalcemia that required aggressive management, including diuretics, corticosteroids and bisphosphonates. Conclusion Although SFN is a rare complication of therapeutic hypothermia, it can be a life-threatening condition if complicated by severe hypercalcemia. Infants who undergo therapeutic hypothermia for HIE need regular skin examinations to evaluate for SFN. If SFN is identified, monitoring of serum calcium levels to prevent life-threatening hypercalcemia is recommended.

scholarly journals Systemic effects of whole-body cooling to 35 °C, 33.5 °C, and 30 °C in a piglet model of perinatal asphyxia: implications for therapeutic hypothermia

2012 ◽  
Vol 71 (5) ◽  
pp. 573-582 ◽  
Author(s):  
Aron Kerenyi ◽  
Dorottya Kelen ◽  
Stuart D. Faulkner ◽  
Alan Bainbridge ◽  
Manigandan Chandrasekaran ◽  
...  
Keyword(s):  
Therapeutic Hypothermia ◽  
Perinatal Asphyxia ◽  
Whole Body ◽  
Systemic Effects ◽  
Body Cooling ◽  
Whole Body Cooling

scholarly journals Effects of face/head and whole body cooling during passive heat stress on human somatosensory processing

2017 ◽  
Vol 312 (6) ◽  
pp. R996-R1003 ◽  
Author(s):  
Hiroki Nakata ◽  
Mari Namba ◽  
Ryusuke Kakigi ◽  
Manabu Shibasaki
Keyword(s):  
Blood Flow ◽  
Heat Stress ◽  
Neural Activity ◽  
Whole Body ◽  
Somatosensory Processing ◽  
Esophageal Temperature ◽  
Passive Heating ◽  
Head Cooling ◽  
Body Cooling ◽  
Whole Body Cooling

We herein investigated the effects of face/head and whole body cooling during passive heat stress on human somatosensory processing recorded by somatosensory-evoked potentials (SEPs) at C4′ and Fz electrodes. Fourteen healthy subjects received a median nerve stimulation at the left wrist. SEPs were recorded at normothermic baseline (Rest), when esophageal temperature had increased by ~1.2°C (heat stress: HS) during passive heating, face/head cooling during passive heating (face/head cooling: FHC), and after HS (whole body cooling: WBC). The latencies and amplitudes of P14, N20, P25, N35, P45, and N60 at C4′ and P14, N18, P22, and N30 at Fz were evaluated. Latency indicated speed of the subcortical and cortical somatosensory processing, while amplitude reflected the strength of neural activity. Blood flow in the internal and common carotid arteries (ICA and CCA, respectively) and psychological comfort were recorded in each session. Increases in esophageal temperature due to HS significantly decreased the amplitude of N60, psychological comfort, and ICA blood flow in the HS session, and also shortened the latencies of SEPs (all, P < 0.05). While esophageal temperature remained elevated, FHC recovered the peak amplitude of N60, psychological comfort, and ICA blood flow toward preheat baseline levels as well as WBC. However, the latencies of SEPs did not recover in the FHC and WBC sessions. These results suggest that impaired neural activity in cortical somatosensory processing during passive HS was recovered by FHC, whereas conduction velocity in the ascending somatosensory input was accelerated by increases in body temperature.

scholarly journals The effects of selective head cooling versus whole-body cooling on some neural and inflammatory biomarkers: a randomized controlled pilot study

2015 ◽  
Vol 41 (1) ◽  
Author(s):  
Yalçın Çelik ◽  
Aytuğ Atıcı ◽  
Selvi Gülaşı ◽  
Khatuna Makharoblıdze ◽  
Gülçin Eskandari ◽  
...  
Keyword(s):  
Pilot Study ◽  
Inflammatory Biomarkers ◽  
Whole Body ◽  
Randomized Controlled ◽  
Head Cooling ◽  
Body Cooling ◽  
Whole Body Cooling

Control of translation in the cold: implications for therapeutic hypothermia

2015 ◽  
Vol 43 (3) ◽  
pp. 333-337 ◽  
Author(s):  
John R.P. Knight ◽  
Anne E. Willis
Keyword(s):  
Blood Flow ◽  
Therapeutic Hypothermia ◽  
Heart Surgery ◽  
Whole Body ◽  
Potential Importance ◽  
Therapeutic Gain ◽  
Body Cooling ◽  
Whole Body Cooling ◽  
The Brain ◽  
Reduced Temperature

Controlled whole-body cooling has been used since the 1950s to protect the brain from injury where cerebral blood flow is reduced. Therapeutic hypothermia has been used successfully during heart surgery, following cardiac arrest and with varied success in other instances of reduced blood flow to the brain. However, why reduced temperature is beneficial is largely unknown. Here we review the use of therapeutic hypothermia with a view to understanding the underlying biology contributing to the phenomenon. Interestingly, the benefits of cooling have recently been extended to treatment of chronic neurodegenerative diseases in two mouse models. Concurrently studies have demonstrated the importance of the regulation of protein synthesis, translation, to the cooling response, which is also emerging as a targetable process in neurodegeneration. Through these studies the potential importance of the rewarming process following cooling is also beginning to emerge. Altogether, these lines of research present new opportunities to manipulate cooling pathways for therapeutic gain.

scholarly journals Delayed Hypothermia as Selective Head Cooling or Whole Body Cooling Does Not Protect Brain or Body in Newborn Pig Subjected to Hypoxia-Ischemia

2008 ◽  
Vol 64 (1) ◽  
pp. 74-80 ◽  
Author(s):  
Mathias Karlsson ◽  
James R Tooley ◽  
Saulius Satas ◽  
Catherine E Hobbs ◽  
Ela Chakkarapani ◽  
...  
Keyword(s):  
Whole Body ◽  
Head Cooling ◽  
Hypoxia Ischemia ◽  
Body Cooling ◽  
Whole Body Cooling
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