Neurocritical Care

, Volume 8, Issue 1, pp 31–35

Intravascular Temperature Control System to Maintain Normothermia in Organ Donors

  • Sarice L. Bassin
  • Thomas P. Bleck
  • Barnett R. Nathan
Original Paper

DOI: 10.1007/s12028-007-9008-0

Cite this article as:
Bassin, S.L., Bleck, T.P. & Nathan, B.R. Neurocrit Care (2008) 8: 31. doi:10.1007/s12028-007-9008-0

Abstract

Introduction

Temperature regulation in humans is controlled by the hypothalamus. After death by neurological criteria, the hypothalamus ceases to function and poikilothermia ensues. Preservation of normothermia in those patients destined to become organ donors is an important part of maintaining the normal physiology of the organs and organ systems. Typical means of achieving normothermia include increasing the temperature of the ambient air, infrared warming lights, instillation of warmed intravenous fluids, and warm air or water blankets.

Methods

In this prospective case series of five organ donors, we used an intravascular temperature modulation catheter (Alsius, Irvine, CA) to maintain normothermia in organ donors declared dead by neurological criteria. Data on accuracy of temperature maintenance at 37°C and nursing ease of use were collected.

Results

This intravascular temperature modulation catheter provided an accurate method of temperature regulation in brain death donor and easier to use from a nursing workload perspective.

Conclusions

Intravascular warming is a viable method for the maintenance of normothermia in organ donors. The experience here provides some insight into the ability of these devices to warm patients in other clinical situations.

Keywords

Brain death Death by neurological criteria Normothermia Intravascular temperature control Organ donation Donors 

Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • Sarice L. Bassin
    • 1
  • Thomas P. Bleck
    • 2
    • 3
  • Barnett R. Nathan
    • 4
  1. 1.Davee Department of Neurology and Clinical Neurological Sciences, Northwestern Memorial HospitalNorthwestern University, Feinberg School of MedicineChicagoUSA
  2. 2.Department of NeurologyNorthwestern University Feinberg School of MedicineChicagoUSA
  3. 3.Evanston Northwestern HealthcareEvanstonUSA
  4. 4.Departments of Neurology and Internal MedicineUniversity of VirginiaCharlottesvilleUSA

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