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"cooling catheter"

Ian Seppelt SeppelI at wahs.nsw.gov.au
Wed Apr 5 06:37:20 BST 2006


I would love to use them, both for therapeutic hypothermia in
appropriate patients, and for controlled warming in profoundly
hypothermic patients. They are too expensive (about AU$ 1800 for the
disposables alone). If they were cheaper I would be keen to use them.

Cheers, Ian

Ian Seppelt FANZCA FJFICM
Staff Specialist in Intensive Care Medicine
The Nepean Hospital, 
PO Box 63, Penrith NSW 2751
Clinical Lecturer, University of Sydney


>>> rwolfer at aol.com 4/04/2006 6:08am >>>
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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