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Query: UMLS:C0020672 (hypothermia)
 17,327 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Noradrenaline (5 microgram in 0.5 microliter) was microinjected into 87 different sites within the preoptic anterior hypothermic area of cat brain to determine the anatomical location most sensitive to the hypothermic action of the amine. At 26 of these sites noradrenaline produced a hypothermia greater than 0.5 degrees C. Such falls in body temperature were invariably accompanied by vasodilation and sometimes by a marked increase in respiratory rate. During the hypothermia most animals appeared sedated. Histological analysis of the sites where hypothermia was produced indicated that the site of maximum sensitivity occurred between the optic chiasm and the anterior commissure at A 15.0, L 2.5, H--2.5. The results are discussed in terms of the physiological control of body temperature.
Eur J Pharmacol 1978 Sep 01
PMID:Precise location within the preoptic area where noradrenaline produces hypothermia. 69 73

After describing the various methods for measuring the intracranial pressure, the causes of the rise of pressure within the skull and the possibilities for compensation are discussed. The elasticity of the brain tissue, which can be determined by pressure/volume stress, plays a crucial role in compensating for pressure. A reciprocal influence exists between intracranial pressure, cerebral circulation and brain oedema, as well as between intracerebral pressure and peripheral circulation. The treament of raised intracranial pressure is possibly by CSF drainage, hyperventilation and hypothermia, as well as by drugs such as steroids and diuretics.
Neurochirurgia (Stuttg) 1978 Sep
PMID:[Increased intracranial pressure. Methods of measurement, pathophysiology and treatment (author's transl)]. 70 17

A series of controlled animal experiments comparing the effects of one, four, and 18 hours of local hypothermia at 6 degrees C begun four hours after compression lesions to the thoracic cord in dogs is reported. Four hours of local cooling delivered by a small silastic epidural heat exchanger, without durotomy or tissue perfusion, is shown to give greater functional benefit than cooling for one hour or 18 hours. Experimental design, pathophysiological implications, and clinical relevance are discussed.
Surg Neurol 1978 Sep
PMID:Local hypothermia in experimental spinal cord trauma. 70 8

A new colloid hyperosmolar solution with high concentrations of proteins, potassium, and glucose has been favorably compared with a crystalloid, intracellular, and hyperosmolar solution (Sacks II) for 24-hr hypothermic storage of ischemic and nonischemic canine kidneys. Sixty minutes of warm ischemia was overcome by all kidneys flushed with the colloid hyperosmolar solution. In four of six ischemic kidneys flushed with Sacks' solution the function returned to normal limits. Hypothermic storage (24 hr) without warm ischemia did not cause any deleterious effects on either one of the flushed group of kidneys. Thirty minutes of warm ischemia followed by 24-hr hypothermic storage was tolerated by most of the kidneys (83%) flushed with the colloid hyperosmolar solution and one-half of the kidneys flushed with the crystalloid hyperosmolar solution. Sixty minutes of warm ischemia and 24-hr hypothermic storage was detrimental to 50% of the kidneys flushed with the colloid hyperosmolar solution.
Transplantation 1978 Sep
PMID:Comparison of sacks and a new colloid hyperosmolar solution for hypothermic renal storage. 70 72

In an experimental study involving ten dogs, the feasibility of transvenous perfusion cooling of the kidney is proven. The theoretical basis of this new method of regional renal hypothermia is presented; the technique is easy to perform and requires cannulation of the renal vein. The perfusate leaves the kidney either via the capsular veins which have been divided during renal exposure, or through the proposed nephrotomy. Renal vein thrombosis or tearing of the venous vasculature was not observed. The only complication encountered in one instance was hemorrhage from the puncture site of the renal vein.
Invest Urol 1978 Sep
PMID:Transvenous perfusion cooling of the kidney: a new technique of local renal hypothermia. 71 7

Lactic acidosis is defined as a state of metabolic acidosis (arterial pH below 7.36) due to an increase in the blood concentration of lactate above 2 mEq/l. Lactic acidosis may occur under a variety of conditions; the biguanide-induced lactic acidosis is due to the toxic effects of biguanides (buformin, metformin, phenformin). The clinical picture is characterized by the occurrence of disturbances of consciousness, severe acidosis with Kussmaul's respiration, shock, hypothermia and in about 30% of all cases hypoglycemia. Apart from the general principles of intensive medical care, therapy should comprise correction of the acid-base-disturbances and elimination of the offending biguanide. The efficacy of hemodialysis in the treatment of biguanide-induced lactic acidosis is difficult to evaluate. By a more sensible use of biguanides, lactic acidosis secondary to drug administration should become a rare event.
Klin Wochenschr 1978 Sep 01
PMID:[Lactic acidosis--a possible complication in buformin-treated diabetics (author's transl)]. 71 13

Experimental data, and their correlation with predictions from theory, are presented for the thermal design of a countercurrent heat exchanger for heating or cooling blood. The thermal design considers the influence on the Nusselt number of blood and the heat exchanger effectiveness of variables such as the blood flow rate, tube diameter and length, and the thermal properties of blood. The data presented are compared with data from the literature and with predictions from theory. Insofar as the design of a blood heat exchanger is concerned, flowing blood can be considered a single-phase fluid. Results of the thermal design analysis are applicable to attempts to produce and control blood hyperthermia for applications such as the perfusion of tumours of the extremities, and to efforts to induce hypothermia during open-heart surgery.
Phys Med Biol 1978 Sep
PMID:Thermal design of a heat exchanger for heating or cooling blood. 71 8

1 Administration of chlorpromazine (Cpz), either systemically or centrally, to unanaesthetized rats at an environmental temperature of 23 degrees C caused dose-dependent hypothermia. 2 In order to achieve equivalent hypothermia, intraventricular administration required a total dose of 20 microgram Cpz and and intraperitoneal administration a dose of 9.7 mg/kg body weight. Accordingly, the dose-ratio between intraventricular and intraperitoneal administration was 1 to 110. Cpz apparently exerts its hypothermic effect by acting directly on central nervous structures rather than through peripheral sites. 3 Cpz-induced hypothermia was potentiated by preoptic anterior hypothalamic (POAH) lesions but not by lesions of the ventromedial nucleus (VMN) of the hypothalamus. It was found that Cpz induced hypothermia most readily in rats with large POAH lesions (-10.4 degrees C), less so in rats with spinal lesions (-5.5 degrees C) at least with control rats (-2.9 degrees C).
Br J Pharmacol 1977 Sep
PMID:The enhancement of chlorpromazine-induced hypothermia by lesions in the anterior hypothalamus. 91 9

1 Core and tail skin temperature was measured in rats which had guide cannulae implanted into their brains to allow drug injections directly into the preoptic anterior hypothalamus. 2 Apomorphine and dopamine (10 microgram in 1 microliter) injected into the area of the preoptic anterior hypothalamus caused a fall in core temperature which was preceded by a rise in tail skin temperature. 3 The decrease in core temperature following central injection of either apomorphine or dopamine was significantly reduced by pretreating rats for 2 h with pikozide 0.5 mg/kg i.p.). 4 Bilateral intrahypothalamic injection of pimozide (0.5 microgram in 1 microliter) significantly reduced the hypothermic effect of systemic apomorphine (1.25 mg/kg i.p.). 5 Control rats placed 65 cm below a 250 W infrared lamp responded with vasodilation of tail skin blood vessels as indicated by an increase in tail skin temperature. Pimozide pretreatment (0.5 mg/kg i.p.) significantly reduced this response. 6 These results suggest that the preoptic anterior hypothalamus contains dopamine receptors which mediate hypothermia in rodents and raise the possibility that endogenous dopamine has a physiological role in thermoregulation.
Br J Pharmacol 1977 Sep
PMID:Do central dopamine receptors have a physiological role in thermoregulation? 91 10

The role of the liver in the changes of acid-base balance and plasma lipids in surface-induced deep hypothermia for open-heart surgery was investigated clinically and experimentally. The metabolic acidosis generally observed in open-heart surgery under surface-induced deep hypothermia is derived from lactacidemia. Although the accelerated anaerobic glycolysis is partly responsible, the depressed acidic metabolite-disposing ability of the liver also plays an important role. The evidence which is presented to show the decrease of plasma lipids other than NEFA under hypothermia is probably due to the hepatic accumulation of lipids and the decreased lipids release from the liver.
Jpn J Surg 1977 Sep
PMID:The role of the liver in the changes of acid-base balance and plasma lipids during surface-induced deep hypothermia. 92 68


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