Iced gastric lavage for treatment of heatstroke: Efficacy in a canine model

Syverud, Scott A.; Barker, William J.; Amsterdam, JT; Goltra, David D.; Armao, JC; Hedges, JR

doi:10.1016/s0196-0644(84)80228-0

Cited by 3 publications

(3 citation statements)

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“…Both methods contribute little to heat exchange. Animal studies show that iced gastric lavage produces a better cooling rate of 0.15°C/min 6 . Iced peritoneal lavage has the highest cooling rate in animal studies excluding cardiopulmonary bypass, at a rate of 0.56°C/min, 7 twice that of the non‐invasive techniques.…”

Section: Discussionmentioning

confidence: 96%

Hyperpyrexia in the emergency department

McGugan

2001

Emergency Medicine

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The differential diagnosis of the hyperpyrexic patient in the emergency department is extensive. It includes sepsis, heat illness including heat stroke, neuroleptic malignant syndrome, malignant hyperthermia, serotonin syndrome and thyroid storm. Each of these possible diagnoses has distinguishing features that may help to differentiate one from another. However, establishing the correct diagnosis is a challenge in the setting of the obtunded emergency patient who gives no history and where there may be limited access to any past medical or drug history. This paper presents such a case and reviews the features of the differential diagnoses and management of the hyperpyrexic patient.

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Section: Discussionmentioning

confidence: 96%

Hyperpyrexia in the emergency department

McGugan

2001

Emergency Medicine

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“…cooling blankets or ice-packs) and intravenous application of non-steroidal anti-inflammatory drugs (NSAIDs). Some hospitals perform gastric lavage with cool fluids [5].…”

Section: Discussionmentioning

confidence: 99%

Endovascular cooling in a patient with neuroleptic malignant syndrome

Diedler

Mellado

Veltkamp

2008

Journal of the Neurological Sciences

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“…Speed of cooling correlated with speed of stabilization of spontaneous normotension. After cardiac arrest and during and after CPR, rectal temperature had declined from a lethal level of 42.2"C to a safe level of 38.5"C within 45 2 6 (38-53) min in group I, and within 28 + 4 (23)(24)(25)(26)(27)(28)(29)(30)(31)(32) Hyperthermia-related crises are serious problems in infancy, childhood, and adolescence (1,2). Hemorrhagic shock and encephalopathy related to hyperpyrexia is a relatively newly recognized syndrome in pediatric emergency medicine (3,4).…”

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confidence: 99%

Evaporative Cooling as an Adjunct to Ice Bag Use after Resuscitation from Heat-Induced Arrest in a Primate Model

1990

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ABSTRACT. Heat stroke and other hyperthermia-related crises are serious clinical problems in childhood and adolescence. Rapid cooling is required to reduce morbidity and mortality. A variety of effective cooling methods exist, and some may interfere with monitoring and resuscitation or are not readily available. We studied in 12 pigtail monkeys the pathophysiology of immersion hyperthermia (42°C) to cardiac arrest (1 min no flow) and CPR plus cooling to normothermia for restoration and stabilization of spontaneous normotension. This was followed by intractable shock and secondary arrest. These studies gave us the opportunity to compare two simple cooling methods applied during and after CPR: group I (n = 6) received application of ice bags to the groins, axillae, and neck.Group I1 (n = 6) received ice bags plus cold water wetting (sponging) over the entire anterior surface of trunk and extremities, plus fanning. CPR restored spontaneous circulation in four of six in each group, after CPR of 1.5-16 min (NS between groups). Speed of cooling correlated with speed of stabilization of spontaneous normotension. After cardiac arrest and during and after CPR, rectal temperature had declined from a lethal level of 42.2"C to a safe level of 38.5"C within 45 2 6 (38-53) min in group I, and within 28 + 4 (23-32) min in group I1 (p < 0.05). Epidural and esophageal temperatures declined more rapidly than rectal temperature. For critical hyperthermia, we recommend immediate application of ice bags, cold water wetting (sponging), fanning, and head cooling combined when invasive blood cooling (the most effective method) is not immediately available (Pediatr Res 27:264-267, 1990

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Iced gastric lavage for treatment of heatstroke: Efficacy in a canine model

Cited by 3 publications

References 0 publications

Hyperpyrexia in the emergency department

Hyperpyrexia in the emergency department

Endovascular cooling in a patient with neuroleptic malignant syndrome

Evaporative Cooling as an Adjunct to Ice Bag Use after Resuscitation from Heat-Induced Arrest in a Primate Model

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