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"cooling catheter"

Michael Bayme mbayme at bgu.ac.il
Tue Apr 4 20:20:12 BST 2006


Any chance of using this catheter for warming, too? Like cold trauma  
patients?
Michael Bayme, M.D., FACS
Senior Surgeon, Surgery "A"
Soroka Medical Center, Beer-Sheva, Israel
mbayme at bgu.ac.il



On Apr 3, 2006, at 11:08 PM, 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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