scholarly journals Comparison of whole-body cooling and selective head cooling on changes in urinary 8-hydroxy-2-deoxyguanosine levels in patients with global brain ischemia undergoing mild hypothermia therapy

2012 ◽  
Vol 18 (7) ◽  
pp. CR409-CR414 ◽  
Author(s):  
Kazumi Ikeda ◽  
Toshiaki Ikeda ◽  
Hitoshi Taniuchi ◽  
Shingo Suda
2019 ◽  
Vol 44 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Gary J. Hodges ◽  
Steven A.H. Ferguson ◽  
Stephen S. Cheung

This study examined the effect of mild hypothermia (a 0.5 °C decrease in rectal temperature) on heart rate variability (HRV), with the identical hypothermia protocol performed twice and compared using intraclass correlation coefficient (r) analysis to study the repeatability. Twelve healthy males each completed 1 neutral (23 °C) and 2 cold (0 °C) trials. In the neutral trial, participants sat quietly for 30 min. In the cold trials, baseline data were obtained from a 5-min sample following 30 min of quiet sitting at 23 °C, followed by passive exposure to 0 °C; hypothermic measures were taken from a 5-min period immediately prior to rectal temperature decreasing by 0.5 °C. HRV was obtained from a 3-lead electrocardiogram. There were no differences (all p > 0.05) in baseline measures between the neutral and the 2 cold trials, suggesting no precooling anxiety related to the cold trials. Heart rate, together with HRV measures (i.e., root mean square difference of successive normal RR intervals, triangular interpolation of NN interval histogram, low-frequency oscillations (LF), and high-frequency oscillations (HF)), increased (all p < 0.05) with mild hypothermia and showed excellent reliability between the 2 cold trials (all r ≥ 0.81). In contrast, the LF/HF ratio decreased (p < 0.05) and had only fair reliability between the 2 cold trials (r = 0.551). In general, hypothermia led to increases in heart rate, together with most measures of HRV. Although it was counterintuitive that both sympathetic and vagal influences would increase simultaneously, these changes likely reflected increased stress from whole-body cooling, together with marked cardiovascular strain and sympathetic nervous system activity from shivering to defend core body temperature. An important methodological consideration for future studies is the consistent and repeatable HRV responses to hypothermia.


2019 ◽  
Vol 90 (7) ◽  
pp. 403-410 ◽  
Author(s):  
Ewa Matylda Gulczynska ◽  
Janusz Gadzinowski ◽  
Marcin Kesiak ◽  
Barbara Sobolewska ◽  
Joanna Caputa ◽  
...  

2017 ◽  
Vol 312 (6) ◽  
pp. R996-R1003 ◽  
Author(s):  
Hiroki Nakata ◽  
Mari Namba ◽  
Ryusuke Kakigi ◽  
Manabu Shibasaki

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.


2015 ◽  
Vol 41 (1) ◽  
Author(s):  
Yalçın Çelik ◽  
Aytuğ Atıcı ◽  
Selvi Gülaşı ◽  
Khatuna Makharoblıdze ◽  
Gülçin Eskandari ◽  
...  

2008 ◽  
Vol 64 (1) ◽  
pp. 74-80 ◽  
Author(s):  
Mathias Karlsson ◽  
James R Tooley ◽  
Saulius Satas ◽  
Catherine E Hobbs ◽  
Ela Chakkarapani ◽  
...  

2015 ◽  
Vol 50 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Aytug Atici ◽  
Yalcin Celik ◽  
Selvi Gulasi ◽  
Ali Haydar Turhan ◽  
Cetin Okuyaz ◽  
...  

2016 ◽  
Vol 58 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Yalcın Celik ◽  
Aytug Atıcı ◽  
Selvi Gulası ◽  
Cetin Okuyaz ◽  
Khatuna Makharoblıdze ◽  
...  

2005 ◽  
Vol 25 (1_suppl) ◽  
pp. S507-S507 ◽  
Author(s):  
Takashi Shichita ◽  
Hiroaki Ooboshi ◽  
Yasuhiro Kumai ◽  
Masahiro Kumai ◽  
Junichi Takada ◽  
...  

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