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Tue Apr 4 16:48:46 BST 2006

I would have to agree with Sohail's assessment in that until a highly proven alternative way is discovered, I think colorectally is the best tract in maintaining core temperatures, in terms of both efficiency as well as minimization of possible complications.

  -Mike F

Sohail Muzammil <sohailmuzammil at hotmail.com> wrote:
  Intuitively it seems like too complicated a way to reduce core temperatures.
More sensible would be some sort of closed rectal system that circulates
cold fluid. Advantages would be a large circulation, good heat exchange and
of course no messing around with the heart or great vessels.

Until that time cold enemas get my vote.

Regards
S Muzammil, FRCS
----- Original Message ----- 
From: "claudia" 
To: "Trauma &, Critical Care mailing list" 
Sent: Tuesday, April 04, 2006 6:02 AM
Subject: Re: "cooling catheter"

I would be interested on that too. If anyone has any info on that, it
would be great, thanks.

claudia
On 4/3/06, rwolfer at aol.com wrote:
> Does anyone have any experience with the new "cooling catheter". A rep
> showed up in my ICU and has all the nurses convinced that this is the best
> thing since sliced bread. It is basically a big stiff central line (
> expensive) that flushes Iced saline over the blood and contents of the
line.
> I have several problems with it, including that the stiffness of the line
> has injured vessels, the company does not seem to think a torn IJ is a
> problem. The cost is high. "Cold fluid" on the heart is not a good thing
> as it can induce arrhythmias. Also according to the head of ID at our
> institution, cold fluid and cooling blankets do not work and can make
things
> worse. I just would like to hear if anyone has any experience with them
> before I agree to it. I am currently against it as I do not think it is
> worth the cost or potential harm . Thanks
>
> Rebecca Wolfer, MD, FACS, FCCP
> Associate Professor, Marshall University School of Medicine
> Dept of Surgery
> Director Thoracic Surgery
> Director, Surgical Critical Care Cabell Huntington Hospital
> Director, Trauma Cabell Huntington Hospital
>
>
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"cooling catheter"