Intravascular temperature control system to maintain normothermia in organ donors

Sarice L. Bassin, Thomas P Bleck, Barnett R. Nathan

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)31-35
Number of pages5
JournalNeurocritical Care
Volume8
Issue number1
DOIs
StatePublished - Feb 1 2008

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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