scholarly journals Selective brain cooling achieves peripheral organs protection in hemorrhagic shock resuscitation via preserving the integrity of the brain-gut axis

2021 ◽  
Vol 18 (13) ◽  
pp. 2920-2929
Author(s):  
Chien-Ming Chao ◽  
Chien-Chin Hsu ◽  
Chien-Cheng Huang ◽  
Chung-Han Wang ◽  
Mao-Tsun Lin ◽  
...  
Keyword(s):  
Hemorrhagic Shock ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Peripheral Organs ◽  
The Brain

Rapid brain cooling in diving ducks

1998 ◽  
Vol 275 (2) ◽  
pp. R363-R371
Author(s):  
Michał Caputa ◽  
Lars Folkow ◽  
Arnoldus Schytte Blix
Keyword(s):  
Cold Water ◽  
Buccal Cavity ◽  
Recovery Period ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Diving Ducks ◽  
Pekin Ducks ◽  
Hypoxic Brain ◽  
The Brain ◽  
Crushed Ice

Hypothermia may limit asphyxic damages to the brain, and many small homeotherms have been shown to use anapyrexic strategies when exposed to asphyxic conditions. Larger homeotherms do not seem to use the same strategy, but could save oxygen and prevent hypoxic brain damage by employing selective brain cooling (SBC) in connection with asphyxia. To test the hypothesis that selective brain cooling may take place in connection with asphyxia, we have recorded brain [hypothalamic (THyp)] and body [colonic (TC)] temperatures and heart rates in four Pekin ducks during 5-min simulated (head submersion) diving in cold water (10°C). Diving resulted in a drop in THyp (3.1 ± 1.4°C) that continued into the recovery period ( P < 0.001). Restricting heat loss from the buccal cavity and eyes during diving compromised brain cooling in an additive manner. TC was not influenced by diving. Control cooling of the head with crushed ice during a 5-min period of undisturbed breathing had no effect on THyp. Warm water (35°C) markedly reduced brain cooling, and dive capacity was reduced by ∼14% ( P < 0.05) compared with diving in water at 10°C. The data suggest that SBC is used in ducks during diving, and we propose that this mechanism may enable the bird to save oxygen for prolonged aerobic submergence and to protect the brain from asphyxic damages.

Bradycardia during face cooling in man may be produced by selective brain cooling

1979 ◽  
Vol 46 (5) ◽  
pp. 905-907 ◽  
Author(s):  
M. Caputa ◽  
M. Cabanac
Keyword(s):  
Venous Return ◽  
Human Subjects ◽  
Cardiac Response ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
The Face ◽  
The Difference ◽  
The Brain ◽  
Face Cooling

In human subjects, bradycardia was produced by immersing the subjects' faces in water at 15 degrees C when they were hyperthermic. When they were hypothermic, the same face cooling produced tachycardia. It is suggested that the difference in cardiac response originates in selective brain cooling during hyperthermia, by venous return from the face to the brain, via ophthalmic veins.

scholarly journals Non-invasive Monitoring of Brain Temperature during Rapid Selective Brain Cooling by Zero-Heat-Flux Thermometry

2019 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Mohammad Fazel Bakhsheshi ◽  
Marjorie Ho ◽  
Lynn Keenliside ◽  
Ting-Yim Lee
Keyword(s):  
Heat Flux ◽  
Body Temperature ◽  
Rectal Temperature ◽  
Brain Temperature ◽  
Whole Body ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Non Invasive ◽  
Temperature Probe ◽  
The Brain

Introduction: Selective brain cooling can minimize systemic complications associated with whole body cooling but maximize neuroprotection. Recently, we developed a non-invasive, portable and inexpensive system for selectively cooling the brain rapidly and demonstrated its safety and efficacy in porcine models. However, the widespread application of this technique in the clinical setting requires a reliable, non-invasive and accurate method for measuring local brain temperature so that cooling and rewarming rates can be controlled during targeted temperature management. In this study, we evaluate the ability of a zero-heat-flux SpotOn sensor, mounted on three different locations, to measure brain temperature during selective brain cooling in a pig model. Computed Tomography (CT) was used to determine the position of the SpotOn patches relative to the brain at different placement locations.Methods and Results: Experiments were conducted on two juvenile pigs. Body temperature was measured using a rectal temperature probe while brain temperature with an intraparenchymal thermocouple probe. A SpotOn patch was taped to the pig’s head at three different locations: 1-2 cm posterior (Location #1, n=1), central forehead (Location #2, n=1); and 1-2 cm anterior and lateral to the bregma i.e., above the eye on the forehead (Location #3, n=1). This cooling system was able to rapidly cool the brain temperature to 33.7 ± 0.2°C within 15 minutes, and maintain the brain temperature within 33-34°C for 4-6 hours before slowly rewarming to 34.8 ± 1.1°C from 33.7 ± 0.2°C, while maintaining the core body temperature (as per rectal temperature probe) above 36°C. We measured a mean bias of -1.1°C, -0.2°C and 0.7°C during rapid cooling in induction phase, maintenance and rewarming phase, respectively. Amongst the three locations, location #2 had the highest correlation (R2 = 0.8) between the SpotOn sensor and the thermocouple probe.Conclusions: This SBC method is able to tightly control the rewarming rate within 0.52 ± 0.20°C/h. The SpotOn sensor placed on the center of the forehead provides a good measurement of brain temperature in comparison to the invasive needle probe.

scholarly journals Selective Brain Cooling Reduces Motor Deficits Induced by Combined Traumatic Brain Injury, Hypoxemia and Hemorrhagic Shock

2018 ◽  
Vol 9 ◽  
Author(s):  
Lai Yee Leung ◽  
Katherine Cardiff ◽  
Xiaofang Yang ◽  
Bernard Srambical Wilfred ◽  
Janice Gilsdorf ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hemorrhagic Shock ◽  
Motor Deficits ◽  
Brain Cooling ◽  
Selective Brain Cooling

scholarly journals Brain Cooling: An Economy Mode of Temperature Regulation in Artiodactyls

Physiology ◽  
1998 ◽  
Vol 13 (6) ◽  
pp. 281-286 ◽  
Author(s):  
Claus Jessen
Keyword(s):  
Heat Stress ◽  
Body Temperature ◽  
Heat Loss ◽  
Temperature Regulation ◽  
Thermal Damage ◽  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Free Ranging ◽  
The Brain

Artiodactyls employ selective brain cooling (SBC) regularly during experimental hyperthermia. In free-ranging antelopes, however, SBC often was present when body temperature was low but absent when brain temperature was near 42°C. The primary effect of SBC is to adjust the activity of the heat loss mechanisms to the magnitude of the heat stress rather than to the protection of the brain from thermal damage.

Thermal signals in control of selective brain cooling

1994 ◽  
Vol 267 (2) ◽  
pp. R355-R359 ◽  
Author(s):  
G. Kuhnen ◽  
C. Jessen
Keyword(s):  
Body Temperature ◽  
Temperature Difference ◽  
Arteriovenous Shunt ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Whole Brain ◽  
Arterial Blood ◽  
The Brain ◽  
Internal Body

In species with a carotid rete, the arterial blood destined for the brain can be cooled on its passage through the rete. The temperature difference between the blood before the rete and the brain is termed selective brain cooling (SBC). The onset and degree of cooling depend on internal body temperature. The aim of this study was to determine the brain sites where the temperature signals driving SBC are generated. Thirty-six experiments were performed in three conscious goats, which were prepared with an arteriovenous shunt, carotid loops, and hypothalamic thermodes to manipulate the temperatures of the trunk (Ttr), the hypothalamus (Thyp), the extrahypothalamic brain (Texh), or the whole brain (Tbr). In all experiments, Ttr was clamped at 39.5 degrees C. The increase of SBC was 2.1 degrees C per 1 degree C increase of Tbr (gain = 2.1). The rise of Thyp at constant Texh yielded a gain of 1.6, whereas the gain of Texh at constant Thyp was 0.7. It is concluded that onset and degree of SBC are predominantly determined by temperature signals generated in the hypothalamus itself.

Selective brain cooling in the horse during exercise and environmental heat stress

1995 ◽  
Vol 79 (6) ◽  
pp. 1849-1854 ◽  
Author(s):  
F. F. McConaghy ◽  
J. R. Hales ◽  
R. J. Rose ◽  
D. R. Hodgson
Keyword(s):  
Respiratory Tract ◽  
Cavernous Sinus ◽  
Venous Blood ◽  
Heat Exposure ◽  
Upper Respiratory Tract ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Blood Temperature ◽  
Upper Respiratory ◽  
The Brain

Five horses were exercised on a treadmill [to central blood temperature (Tcore) approximately 42.5 degrees C]. Three of those horses were heated at rest in a climate room (53 degrees C, 90% relative humidity) (to Tcore approximately 41.5 degrees C). Temperatures were measured in the rectum, hypothalamus (Thyp), cerebrum, and cavernous sinus (Tsinus), on the skin of the head and midside, and Tcore. When Tcore increased above 38.5 degrees C, Thyp remained 0.6 +/- 0.1 degree C (SE) lower during heat exposure and 1 +/- 0.2 degrees C lower during exercise. During heat exposure, Tsinus was 2.2 +/- 0.4 degrees C below Tcore, and during exercise, Tsinus was 5 +/- 0.9 degrees C below Tcore. Upper respiratory tract bypass during exercise in one horse resulted in substantial reductions in Tcore-Thyp to 0.4 +/- 0.3 degrees C and Tcore-Tsinus to 0.9 +/- 0.2 degrees C. Thus the horse, a species without a carotid rete, can selectively cool the brain during exercise or heat exposure; this occurs, at least in part, via cool blood within the cavernous sinus, presumably resulting principally from cooling of venous blood within the upper respiratory tract.

scholarly journals Guttural pouches, brain temperature and exercise in horses

2006 ◽  
Vol 2 (3) ◽  
pp. 475-477 ◽  
Author(s):  
Graham Mitchell ◽  
Andrea Fuller ◽  
Shane K Maloney ◽  
Nicola Rump ◽  
Duncan Mitchell
Keyword(s):  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Free Living ◽  
Heat Injury ◽  
Blood Temperature ◽  
Arterial Blood ◽  
Exchange Function ◽  
The Brain ◽  
Arterial Blood Temperature

Selective brain cooling (SBC) is defined as the lowering of brain temperature below arterial blood temperature. Artiodactyls employ a carotid rete, an anatomical heat exchanger, to cool arterial blood shortly before it enters the brain. The survival advantage of this anatomy traditionally is believed to be a protection of brain tissue from heat injury, especially during exercise. Perissodactyls such as horses do not possess a carotid rete, and it has been proposed that their guttural pouches serve the heat-exchange function of the carotid rete by cooling the blood that traverses them, thus protecting the brain from heat injury. We have tested this proposal by measuring brain and carotid artery temperature simultaneously in free-living horses. We found that despite evidence of cranial cooling, brain temperature increased by about 2.5 °C during exercise, and consistently exceeded carotid temperature by 0.2–0.5 °C. We conclude that cerebral blood flow removes heat from the brain by convection, but since SBC does not occur in horses, the guttural pouches are not surrogate carotid retes.

scholarly journals The pathophysiology of “happy” hypoglycemia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Thomas Loeb ◽  
Anna Ozguler ◽  
Geraldine Baer ◽  
Michel Baer
Keyword(s):  
Critical Care ◽  
Hemorrhagic Shock ◽  
Lactate Production ◽  
Severe Hypoglycemia ◽  
Altered Mental Status ◽  
Case Presentation ◽  
Energy Substrate ◽  
Tissue Hypoperfusion ◽  
The Brain ◽  
Critical Care Patients

Abstract Background Hypoglycemia usually includes various neurological symptoms, which are the consequence of neuroglycopenia. When it is severe, it is associated with altered mental status, even coma. Case presentation We report the case of a patient with severe hypoglycemia, completely asymptomatic, due to the increase of lactate production in response to tissue hypoperfusion following a hemorrhagic shock. This illustrates that lactate can substitute glucose as an energy substrate for the brain. It is also a reminder that this metabolite, despite its bad reputation maintained by its role as a marker of severity in critical care patients, has a fundamental role in our metabolism. Conclusions Following the example of the “happy hypoxemia” recently reported in the literature describing asymptomatic hypoxemia in COVID-19 patients, we describe a case of “happy hypoglycemia.”

scholarly journals Systemic AAV6-synapsin-GFP administration results in lower liver biodistribution, compared to AAV1&2 and AAV9, with neuronal expression following ultrasound-mediated brain delivery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Danielle Weber-Adrian ◽  
Rikke Hahn Kofoed ◽  
Joseph Silburt ◽  
Zeinab Noroozian ◽  
Kairavi Shah ◽  
...  
Keyword(s):  
Gene Delivery ◽  
Intravenous Injection ◽  
Viral Vectors ◽  
Focused Ultrasound ◽  
Fluorescent Protein ◽  
Gfp Expression ◽  
Peripheral Organs ◽  
Neuronal Expression ◽  
Green Fluorescent ◽  
The Brain

AbstractNon-surgical gene delivery to the brain can be achieved following intravenous injection of viral vectors coupled with transcranial MRI-guided focused ultrasound (MRIgFUS) to temporarily and locally permeabilize the blood–brain barrier. Vector and promoter selection can provide neuronal expression in the brain, while limiting biodistribution and expression in peripheral organs. To date, the biodistribution of adeno-associated viruses (AAVs) within peripheral organs had not been quantified following intravenous injection and MRIgFUS delivery to the brain. We evaluated the quantity of viral DNA from the serotypes AAV9, AAV6, and a mosaic AAV1&2, expressing green fluorescent protein (GFP) under the neuron-specific synapsin promoter (syn). AAVs were administered intravenously during MRIgFUS targeting to the striatum and hippocampus in mice. The syn promoter led to undetectable levels of GFP expression in peripheral organs. In the liver, the biodistribution of AAV9 and AAV1&2 was 12.9- and 4.4-fold higher, respectively, compared to AAV6. The percentage of GFP-positive neurons in the FUS-targeted areas of the brain was comparable for AAV6-syn-GFP and AAV1&2-syn-GFP. In summary, MRIgFUS-mediated gene delivery with AAV6-syn-GFP had lower off-target biodistribution in the liver compared to AAV9 and AAV1&2, while providing neuronal GFP expression in the striatum and hippocampus.

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