CA2454607C - Systeme et methode de regulation de la temperature d'un patient a l'aide d'un algorithme de projection de temperature - Google Patents
Systeme et methode de regulation de la temperature d'un patient a l'aide d'un algorithme de projection de temperature Download PDFInfo
- Publication number
- CA2454607C CA2454607C CA2454607A CA2454607A CA2454607C CA 2454607 C CA2454607 C CA 2454607C CA 2454607 A CA2454607 A CA 2454607A CA 2454607 A CA2454607 A CA 2454607A CA 2454607 C CA2454607 C CA 2454607C
- Authority
- CA
- Canada
- Prior art keywords
- heat transfer
- processor
- temperature
- working fluid
- lumen
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 238000000034 method Methods 0.000 title abstract description 155
- 238000012546 transfer Methods 0.000 claims abstract description 708
- 239000012530 fluid Substances 0.000 claims abstract description 389
- 210000004369 blood Anatomy 0.000 claims abstract description 197
- 239000008280 blood Substances 0.000 claims abstract description 197
- 230000002631 hypothermal effect Effects 0.000 claims description 90
- 230000001939 inductive effect Effects 0.000 claims description 60
- 206010008531 Chills Diseases 0.000 claims description 39
- 238000002560 therapeutic procedure Methods 0.000 claims description 32
- 230000008859 change Effects 0.000 claims description 25
- 230000002792 vascular Effects 0.000 claims description 22
- 238000003780 insertion Methods 0.000 claims description 12
- 230000037431 insertion Effects 0.000 claims description 12
- 229920000642 polymer Polymers 0.000 claims description 9
- 239000003795 chemical substances by application Substances 0.000 claims description 3
- 239000004952 Polyamide Substances 0.000 claims 1
- 229920002647 polyamide Polymers 0.000 claims 1
- 238000001816 cooling Methods 0.000 abstract description 207
- 238000010438 heat treatment Methods 0.000 abstract description 70
- 230000000694 effects Effects 0.000 description 89
- 210000001367 artery Anatomy 0.000 description 85
- 239000010410 layer Substances 0.000 description 79
- 239000003814 drug Substances 0.000 description 75
- 229940079593 drug Drugs 0.000 description 69
- ORQBXQOJMQIAOY-UHFFFAOYSA-N nobelium Chemical compound [No] ORQBXQOJMQIAOY-UHFFFAOYSA-N 0.000 description 66
- 230000017531 blood circulation Effects 0.000 description 63
- 238000002156 mixing Methods 0.000 description 62
- 210000002216 heart Anatomy 0.000 description 53
- 108090000790 Enzymes Proteins 0.000 description 48
- 102000004190 Enzymes Human genes 0.000 description 48
- 210000004204 blood vessel Anatomy 0.000 description 48
- 229940088598 enzyme Drugs 0.000 description 48
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 46
- 210000004556 brain Anatomy 0.000 description 46
- 230000004087 circulation Effects 0.000 description 46
- 239000000463 material Substances 0.000 description 46
- 210000000056 organ Anatomy 0.000 description 45
- 230000001965 increasing effect Effects 0.000 description 41
- 238000010792 warming Methods 0.000 description 41
- XADCESSVHJOZHK-UHFFFAOYSA-N Meperidine Chemical compound C=1C=CC=CC=1C1(C(=O)OCC)CCN(C)CC1 XADCESSVHJOZHK-UHFFFAOYSA-N 0.000 description 40
- 210000003462 vein Anatomy 0.000 description 40
- 229960000482 pethidine Drugs 0.000 description 37
- 239000011780 sodium chloride Substances 0.000 description 35
- 239000002826 coolant Substances 0.000 description 33
- 230000007246 mechanism Effects 0.000 description 33
- 230000001331 thermoregulatory effect Effects 0.000 description 30
- 210000002620 vena cava superior Anatomy 0.000 description 29
- 229910052751 metal Inorganic materials 0.000 description 28
- 230000036760 body temperature Effects 0.000 description 27
- 230000000747 cardiac effect Effects 0.000 description 26
- 230000006870 function Effects 0.000 description 26
- 239000002184 metal Substances 0.000 description 26
- 239000012809 cooling fluid Substances 0.000 description 24
- 230000000875 corresponding effect Effects 0.000 description 21
- 102000013566 Plasminogen Human genes 0.000 description 20
- 108010051456 Plasminogen Proteins 0.000 description 20
- 230000033001 locomotion Effects 0.000 description 20
- 239000000523 sample Substances 0.000 description 20
- 206010047139 Vasoconstriction Diseases 0.000 description 18
- 230000008901 benefit Effects 0.000 description 18
- 230000006378 damage Effects 0.000 description 18
- 239000013529 heat transfer fluid Substances 0.000 description 18
- 206010037660 Pyrexia Diseases 0.000 description 17
- 210000001168 carotid artery common Anatomy 0.000 description 17
- 238000012544 monitoring process Methods 0.000 description 17
- 230000004044 response Effects 0.000 description 17
- 210000005166 vasculature Anatomy 0.000 description 17
- 230000025033 vasoconstriction Effects 0.000 description 17
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 17
- 208000006011 Stroke Diseases 0.000 description 16
- 230000007423 decrease Effects 0.000 description 16
- 210000004731 jugular vein Anatomy 0.000 description 16
- 230000008569 process Effects 0.000 description 16
- 108010088842 Fibrinolysin Proteins 0.000 description 14
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 14
- 238000000576 coating method Methods 0.000 description 14
- 238000013461 design Methods 0.000 description 14
- 230000003480 fibrinolytic effect Effects 0.000 description 14
- 230000004907 flux Effects 0.000 description 14
- 229940012957 plasmin Drugs 0.000 description 14
- 238000010926 purge Methods 0.000 description 14
- 230000002829 reductive effect Effects 0.000 description 14
- 210000001519 tissue Anatomy 0.000 description 14
- 210000001631 vena cava inferior Anatomy 0.000 description 14
- 102000001708 Protein Isoforms Human genes 0.000 description 13
- 108010029485 Protein Isoforms Proteins 0.000 description 13
- 210000004004 carotid artery internal Anatomy 0.000 description 13
- 230000002708 enhancing effect Effects 0.000 description 13
- 208000028867 ischemia Diseases 0.000 description 13
- 239000000203 mixture Substances 0.000 description 13
- 108090000137 Opioid Receptors Proteins 0.000 description 12
- 102000003840 Opioid Receptors Human genes 0.000 description 12
- 239000011248 coating agent Substances 0.000 description 12
- 230000009089 cytolysis Effects 0.000 description 12
- 239000007788 liquid Substances 0.000 description 12
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 12
- 230000001537 neural effect Effects 0.000 description 12
- 230000009467 reduction Effects 0.000 description 12
- 238000010276 construction Methods 0.000 description 11
- 230000020764 fibrinolysis Effects 0.000 description 11
- 239000010931 gold Substances 0.000 description 11
- 238000004519 manufacturing process Methods 0.000 description 11
- 238000005070 sampling Methods 0.000 description 11
- 102000009123 Fibrin Human genes 0.000 description 10
- 108010073385 Fibrin Proteins 0.000 description 10
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 10
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 10
- 206010039897 Sedation Diseases 0.000 description 10
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 10
- 239000010949 copper Substances 0.000 description 10
- 238000010586 diagram Methods 0.000 description 10
- 229950003499 fibrin Drugs 0.000 description 10
- 239000003527 fibrinolytic agent Substances 0.000 description 10
- 229960002897 heparin Drugs 0.000 description 10
- 229920000669 heparin Polymers 0.000 description 10
- 230000000302 ischemic effect Effects 0.000 description 10
- 230000002934 lysing effect Effects 0.000 description 10
- 229940127240 opiate Drugs 0.000 description 10
- 229910052760 oxygen Inorganic materials 0.000 description 10
- 239000001301 oxygen Substances 0.000 description 10
- 230000036280 sedation Effects 0.000 description 10
- 238000011282 treatment Methods 0.000 description 10
- 208000007536 Thrombosis Diseases 0.000 description 9
- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 9
- 230000001419 dependent effect Effects 0.000 description 9
- 210000001105 femoral artery Anatomy 0.000 description 9
- -1 hydroxy allyl prodine Chemical compound 0.000 description 9
- 230000000541 pulsatile effect Effects 0.000 description 9
- 230000000241 respiratory effect Effects 0.000 description 9
- RGPDEAGGEXEMMM-UHFFFAOYSA-N Nefopam Chemical compound C12=CC=CC=C2CN(C)CCOC1C1=CC=CC=C1 RGPDEAGGEXEMMM-UHFFFAOYSA-N 0.000 description 8
- 230000004913 activation Effects 0.000 description 8
- 238000001994 activation Methods 0.000 description 8
- UVAZQQHAVMNMHE-XJKSGUPXSA-N alphaprodine Chemical compound C=1C=CC=CC=1[C@@]1(OC(=O)CC)CCN(C)C[C@@H]1C UVAZQQHAVMNMHE-XJKSGUPXSA-N 0.000 description 8
- 229960001349 alphaprodine Drugs 0.000 description 8
- 238000013459 approach Methods 0.000 description 8
- 238000010009 beating Methods 0.000 description 8
- 230000035602 clotting Effects 0.000 description 8
- 230000003247 decreasing effect Effects 0.000 description 8
- 208000014674 injury Diseases 0.000 description 8
- 238000012423 maintenance Methods 0.000 description 8
- 229960000751 nefopam Drugs 0.000 description 8
- 239000000243 solution Substances 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 8
- 230000002537 thrombolytic effect Effects 0.000 description 8
- 239000002876 beta blocker Substances 0.000 description 7
- 229940097320 beta blocking agent Drugs 0.000 description 7
- 238000004891 communication Methods 0.000 description 7
- 239000004020 conductor Substances 0.000 description 7
- 238000012377 drug delivery Methods 0.000 description 7
- 229960002428 fentanyl Drugs 0.000 description 7
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical compound C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 description 7
- 208000010125 myocardial infarction Diseases 0.000 description 7
- 230000001225 therapeutic effect Effects 0.000 description 7
- 239000013598 vector Substances 0.000 description 7
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 6
- MKXZASYAUGDDCJ-SZMVWBNQSA-N LSM-2525 Chemical compound C1CCC[C@H]2[C@@]3([H])N(C)CC[C@]21C1=CC(OC)=CC=C1C3 MKXZASYAUGDDCJ-SZMVWBNQSA-N 0.000 description 6
- 230000002612 cardiopulmonary effect Effects 0.000 description 6
- 230000036757 core body temperature Effects 0.000 description 6
- 229960001985 dextromethorphan Drugs 0.000 description 6
- 208000037906 ischaemic injury Diseases 0.000 description 6
- 238000005259 measurement Methods 0.000 description 6
- 239000011241 protective layer Substances 0.000 description 6
- 229910001220 stainless steel Inorganic materials 0.000 description 6
- 241001465754 Metazoa Species 0.000 description 5
- UVAZQQHAVMNMHE-BBRMVZONSA-N [(3s,4s)-1,3-dimethyl-4-phenylpiperidin-4-yl] propanoate Chemical compound C=1C=CC=CC=1[C@]1(OC(=O)CC)CCN(C)C[C@@H]1C UVAZQQHAVMNMHE-BBRMVZONSA-N 0.000 description 5
- 230000000202 analgesic effect Effects 0.000 description 5
- 230000009286 beneficial effect Effects 0.000 description 5
- 238000009529 body temperature measurement Methods 0.000 description 5
- 238000009835 boiling Methods 0.000 description 5
- 229910052799 carbon Inorganic materials 0.000 description 5
- 238000006243 chemical reaction Methods 0.000 description 5
- 210000000038 chest Anatomy 0.000 description 5
- 230000001276 controlling effect Effects 0.000 description 5
- 230000007123 defense Effects 0.000 description 5
- 230000009977 dual effect Effects 0.000 description 5
- 210000003128 head Anatomy 0.000 description 5
- 238000001802 infusion Methods 0.000 description 5
- 229920000126 latex Polymers 0.000 description 5
- 150000002739 metals Chemical class 0.000 description 5
- 238000012806 monitoring device Methods 0.000 description 5
- 229960005181 morphine Drugs 0.000 description 5
- 230000037000 normothermia Effects 0.000 description 5
- 210000001147 pulmonary artery Anatomy 0.000 description 5
- 210000005245 right atrium Anatomy 0.000 description 5
- 239000010935 stainless steel Substances 0.000 description 5
- 230000002459 sustained effect Effects 0.000 description 5
- 229940124597 therapeutic agent Drugs 0.000 description 5
- 238000005406 washing Methods 0.000 description 5
- SFLSHLFXELFNJZ-QMMMGPOBSA-N (-)-norepinephrine Chemical compound NC[C@H](O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-QMMMGPOBSA-N 0.000 description 4
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 4
- 241000894006 Bacteria Species 0.000 description 4
- GJSURZIOUXUGAL-UHFFFAOYSA-N Clonidine Chemical compound ClC1=CC=CC(Cl)=C1NC1=NCCN1 GJSURZIOUXUGAL-UHFFFAOYSA-N 0.000 description 4
- 229940123457 Free radical scavenger Drugs 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 230000009471 action Effects 0.000 description 4
- 229910052782 aluminium Inorganic materials 0.000 description 4
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 4
- 239000002221 antipyretic Substances 0.000 description 4
- 229940125716 antipyretic agent Drugs 0.000 description 4
- 239000007864 aqueous solution Substances 0.000 description 4
- 229950000011 betaprodine Drugs 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 4
- 229960002896 clonidine Drugs 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 4
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 238000012937 correction Methods 0.000 description 4
- 238000000151 deposition Methods 0.000 description 4
- 230000008021 deposition Effects 0.000 description 4
- 210000003191 femoral vein Anatomy 0.000 description 4
- 239000007789 gas Substances 0.000 description 4
- 230000006698 induction Effects 0.000 description 4
- 230000000670 limiting effect Effects 0.000 description 4
- 230000002503 metabolic effect Effects 0.000 description 4
- 229910000510 noble metal Inorganic materials 0.000 description 4
- 229960002748 norepinephrine Drugs 0.000 description 4
- SFLSHLFXELFNJZ-UHFFFAOYSA-N norepinephrine Natural products NCC(O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-UHFFFAOYSA-N 0.000 description 4
- 230000003836 peripheral circulation Effects 0.000 description 4
- 229950007935 picenadol Drugs 0.000 description 4
- 239000002516 radical scavenger Substances 0.000 description 4
- 102000005962 receptors Human genes 0.000 description 4
- 108020003175 receptors Proteins 0.000 description 4
- 230000000717 retained effect Effects 0.000 description 4
- 230000007704 transition Effects 0.000 description 4
- 230000008733 trauma Effects 0.000 description 4
- TVYLLZQTGLZFBW-ZBFHGGJFSA-N (R,R)-tramadol Chemical compound COC1=CC=CC([C@]2(O)[C@H](CCCC2)CN(C)C)=C1 TVYLLZQTGLZFBW-ZBFHGGJFSA-N 0.000 description 3
- RTOHPIRUUAKHOZ-BBRMVZONSA-N 3-[(3r,4s)-1,3-dimethyl-4-propylpiperidin-4-yl]phenol Chemical compound C=1C=CC(O)=CC=1[C@@]1(CCC)CCN(C)C[C@@H]1C RTOHPIRUUAKHOZ-BBRMVZONSA-N 0.000 description 3
- 206010012373 Depressed level of consciousness Diseases 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- 208000031481 Pathologic Constriction Diseases 0.000 description 3
- 206010063837 Reperfusion injury Diseases 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 3
- 230000001133 acceleration Effects 0.000 description 3
- 238000004458 analytical method Methods 0.000 description 3
- 239000005557 antagonist Substances 0.000 description 3
- 239000000605 aspartame Substances 0.000 description 3
- 229960003438 aspartame Drugs 0.000 description 3
- 238000013130 cardiovascular surgery Methods 0.000 description 3
- 210000004027 cell Anatomy 0.000 description 3
- 229910052802 copper Inorganic materials 0.000 description 3
- 230000002939 deleterious effect Effects 0.000 description 3
- 239000000857 delta opiate receptor antagonist Substances 0.000 description 3
- 239000002552 dosage form Substances 0.000 description 3
- 210000003016 hypothalamus Anatomy 0.000 description 3
- 239000003112 inhibitor Substances 0.000 description 3
- 238000009413 insulation Methods 0.000 description 3
- 210000005240 left ventricle Anatomy 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 229910052759 nickel Inorganic materials 0.000 description 3
- 229910052757 nitrogen Inorganic materials 0.000 description 3
- 230000036961 partial effect Effects 0.000 description 3
- 230000010412 perfusion Effects 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 3
- 239000004417 polycarbonate Substances 0.000 description 3
- 229920000515 polycarbonate Polymers 0.000 description 3
- 229920006254 polymer film Polymers 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- UVAZQQHAVMNMHE-CJNGLKHVSA-N prodine Chemical compound C=1C=CC=CC=1[C@]1(OC(=O)CC)CCN(C)C[C@H]1C UVAZQQHAVMNMHE-CJNGLKHVSA-N 0.000 description 3
- 239000002464 receptor antagonist Substances 0.000 description 3
- 229940044551 receptor antagonist Drugs 0.000 description 3
- 230000001105 regulatory effect Effects 0.000 description 3
- 230000000250 revascularization Effects 0.000 description 3
- 208000010110 spontaneous platelet aggregation Diseases 0.000 description 3
- 208000037804 stenosis Diseases 0.000 description 3
- 230000002966 stenotic effect Effects 0.000 description 3
- 230000035882 stress Effects 0.000 description 3
- 239000013589 supplement Substances 0.000 description 3
- TXEYQDLBPFQVAA-UHFFFAOYSA-N tetrafluoromethane Chemical compound FC(F)(F)F TXEYQDLBPFQVAA-UHFFFAOYSA-N 0.000 description 3
- 229960004380 tramadol Drugs 0.000 description 3
- TVYLLZQTGLZFBW-GOEBONIOSA-N tramadol Natural products COC1=CC=CC([C@@]2(O)[C@@H](CCCC2)CN(C)C)=C1 TVYLLZQTGLZFBW-GOEBONIOSA-N 0.000 description 3
- 230000001052 transient effect Effects 0.000 description 3
- 230000003639 vasoconstrictive effect Effects 0.000 description 3
- SGUAFYQXFOLMHL-UHFFFAOYSA-N 2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide Chemical compound C=1C=C(O)C(C(N)=O)=CC=1C(O)CNC(C)CCC1=CC=CC=C1 SGUAFYQXFOLMHL-UHFFFAOYSA-N 0.000 description 2
- 125000003903 2-propenyl group Chemical group [H]C([*])([H])C([H])=C([H])[H] 0.000 description 2
- 206010001526 Air embolism Diseases 0.000 description 2
- APKFDSVGJQXUKY-KKGHZKTASA-N Amphotericin-B Natural products O[C@H]1[C@@H](N)[C@H](O)[C@@H](C)O[C@H]1O[C@H]1C=CC=CC=CC=CC=CC=CC=C[C@H](C)[C@@H](O)[C@@H](C)[C@H](C)OC(=O)C[C@H](O)C[C@H](O)CC[C@@H](O)[C@H](O)C[C@H](O)C[C@](O)(C[C@H](O)[C@H]2C(O)=O)O[C@H]2C1 APKFDSVGJQXUKY-KKGHZKTASA-N 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 206010010904 Convulsion Diseases 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 2
- 230000005526 G1 to G0 transition Effects 0.000 description 2
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- JAQUASYNZVUNQP-USXIJHARSA-N Levorphanol Chemical compound C1C2=CC=C(O)C=C2[C@]23CCN(C)[C@H]1[C@@H]2CCCC3 JAQUASYNZVUNQP-USXIJHARSA-N 0.000 description 2
- TWRXJAOTZQYOKJ-UHFFFAOYSA-L Magnesium chloride Chemical compound [Mg+2].[Cl-].[Cl-] TWRXJAOTZQYOKJ-UHFFFAOYSA-L 0.000 description 2
- 241000144958 Piaractus mesopotamicus Species 0.000 description 2
- 208000001647 Renal Insufficiency Diseases 0.000 description 2
- 108010023197 Streptokinase Proteins 0.000 description 2
- 239000004809 Teflon Substances 0.000 description 2
- 229920006362 Teflon® Polymers 0.000 description 2
- 208000030886 Traumatic Brain injury Diseases 0.000 description 2
- 108090000435 Urokinase-type plasminogen activator Proteins 0.000 description 2
- 102000003990 Urokinase-type plasminogen activator Human genes 0.000 description 2
- 239000002160 alpha blocker Substances 0.000 description 2
- 229940124308 alpha-adrenoreceptor antagonist Drugs 0.000 description 2
- APKFDSVGJQXUKY-INPOYWNPSA-N amphotericin B Chemical compound O[C@H]1[C@@H](N)[C@H](O)[C@@H](C)O[C@H]1O[C@H]1/C=C/C=C/C=C/C=C/C=C/C=C/C=C/[C@H](C)[C@@H](O)[C@@H](C)[C@H](C)OC(=O)C[C@H](O)C[C@H](O)CC[C@@H](O)[C@H](O)C[C@H](O)C[C@](O)(C[C@H](O)[C@H]2C(O)=O)O[C@H]2C1 APKFDSVGJQXUKY-INPOYWNPSA-N 0.000 description 2
- 229960003942 amphotericin b Drugs 0.000 description 2
- 230000003444 anaesthetic effect Effects 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000000954 anitussive effect Effects 0.000 description 2
- 229940124584 antitussives Drugs 0.000 description 2
- 210000001765 aortic valve Anatomy 0.000 description 2
- 230000008321 arterial blood flow Effects 0.000 description 2
- 239000012298 atmosphere Substances 0.000 description 2
- 230000004888 barrier function Effects 0.000 description 2
- 230000036471 bradycardia Effects 0.000 description 2
- 208000006218 bradycardia Diseases 0.000 description 2
- 208000029028 brain injury Diseases 0.000 description 2
- QWCRAEMEVRGPNT-UHFFFAOYSA-N buspirone Chemical compound C1C(=O)N(CCCCN2CCN(CC2)C=2N=CC=CN=2)C(=O)CC21CCCC2 QWCRAEMEVRGPNT-UHFFFAOYSA-N 0.000 description 2
- 229960002495 buspirone Drugs 0.000 description 2
- 238000004364 calculation method Methods 0.000 description 2
- 210000001715 carotid artery Anatomy 0.000 description 2
- 229960004195 carvedilol Drugs 0.000 description 2
- NPAKNKYSJIDKMW-UHFFFAOYSA-N carvedilol Chemical compound COC1=CC=CC=C1OCCNCC(O)COC1=CC=CC2=NC3=CC=C[CH]C3=C12 NPAKNKYSJIDKMW-UHFFFAOYSA-N 0.000 description 2
- 230000005779 cell damage Effects 0.000 description 2
- 208000037887 cell injury Diseases 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 2
- 229940039231 contrast media Drugs 0.000 description 2
- 239000002872 contrast media Substances 0.000 description 2
- 210000004351 coronary vessel Anatomy 0.000 description 2
- 238000011461 current therapy Methods 0.000 description 2
- 238000013479 data entry Methods 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 238000002651 drug therapy Methods 0.000 description 2
- 238000009713 electroplating Methods 0.000 description 2
- 230000007613 environmental effect Effects 0.000 description 2
- 230000002255 enzymatic effect Effects 0.000 description 2
- 238000011067 equilibration Methods 0.000 description 2
- 229960003745 esmolol Drugs 0.000 description 2
- AQNDDEOPVVGCPG-UHFFFAOYSA-N esmolol Chemical compound COC(=O)CCC1=CC=C(OCC(O)CNC(C)C)C=C1 AQNDDEOPVVGCPG-UHFFFAOYSA-N 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 238000007710 freezing Methods 0.000 description 2
- 230000008014 freezing Effects 0.000 description 2
- 239000003193 general anesthetic agent Substances 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 150000008282 halocarbons Chemical class 0.000 description 2
- 230000000415 inactivating effect Effects 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 238000001746 injection moulding Methods 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- 201000006370 kidney failure Diseases 0.000 description 2
- 229960001632 labetalol Drugs 0.000 description 2
- 238000003475 lamination Methods 0.000 description 2
- 229960003406 levorphanol Drugs 0.000 description 2
- 238000003754 machining Methods 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- 230000005012 migration Effects 0.000 description 2
- 238000013508 migration Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000002107 myocardial effect Effects 0.000 description 2
- DKJCUVXSBOMWAV-PCWWUVHHSA-N naltrindole Chemical compound N1([C@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CC2=C3[CH]C=CC=C3N=C25)O)CC1)O)CC1CC1 DKJCUVXSBOMWAV-PCWWUVHHSA-N 0.000 description 2
- 230000000324 neuroprotective effect Effects 0.000 description 2
- 230000009972 noncorrosive effect Effects 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 229940051877 other opioids in atc Drugs 0.000 description 2
- 239000002245 particle Substances 0.000 description 2
- 230000000737 periodic effect Effects 0.000 description 2
- 230000036470 plasma concentration Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 229920000052 poly(p-xylylene) Polymers 0.000 description 2
- 230000003389 potentiating effect Effects 0.000 description 2
- 239000002243 precursor Substances 0.000 description 2
- OLBCVFGFOZPWHH-UHFFFAOYSA-N propofol Chemical compound CC(C)C1=CC=CC(C(C)C)=C1O OLBCVFGFOZPWHH-UHFFFAOYSA-N 0.000 description 2
- 229960004134 propofol Drugs 0.000 description 2
- AQHHHDLHHXJYJD-UHFFFAOYSA-N propranolol Chemical compound C1=CC=C2C(OCC(O)CNC(C)C)=CC=CC2=C1 AQHHHDLHHXJYJD-UHFFFAOYSA-N 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 239000003507 refrigerant Substances 0.000 description 2
- 150000003839 salts Chemical class 0.000 description 2
- 230000035945 sensitivity Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 210000002966 serum Anatomy 0.000 description 2
- 229910052709 silver Inorganic materials 0.000 description 2
- 239000002002 slurry Substances 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 229960005202 streptokinase Drugs 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 230000028016 temperature homeostasis Effects 0.000 description 2
- BFKJFAAPBSQJPD-UHFFFAOYSA-N tetrafluoroethene Chemical compound FC(F)=C(F)F BFKJFAAPBSQJPD-UHFFFAOYSA-N 0.000 description 2
- 229920001169 thermoplastic Polymers 0.000 description 2
- 239000004416 thermosoftening plastic Substances 0.000 description 2
- 229960000103 thrombolytic agent Drugs 0.000 description 2
- RBKASMJPSJDQKY-RBFSKHHSSA-N tirilazad Chemical compound O=C([C@@H]1[C@@]2(C)CC=C3[C@@]4(C)C=CC(=O)C=C4CC[C@H]3[C@@H]2C[C@H]1C)CN(CC1)CCN1C(N=1)=CC(N2CCCC2)=NC=1N1CCCC1 RBKASMJPSJDQKY-RBFSKHHSSA-N 0.000 description 2
- 229960005155 tirilazad Drugs 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 238000011144 upstream manufacturing Methods 0.000 description 2
- 229960005356 urokinase Drugs 0.000 description 2
- 230000024883 vasodilation Effects 0.000 description 2
- SWMBOMMGMHMOHE-MHLULTLJSA-N (2r,3r,4r,5r)-hexane-1,2,3,4,5,6-hexol;(2r,3r,4r,5s)-hexane-1,2,3,4,5,6-hexol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO SWMBOMMGMHMOHE-MHLULTLJSA-N 0.000 description 1
- METKIMKYRPQLGS-GFCCVEGCSA-N (R)-atenolol Chemical compound CC(C)NC[C@@H](O)COC1=CC=C(CC(N)=O)C=C1 METKIMKYRPQLGS-GFCCVEGCSA-N 0.000 description 1
- TWBNMYSKRDRHAT-RCWTXCDDSA-N (S)-timolol hemihydrate Chemical compound O.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1 TWBNMYSKRDRHAT-RCWTXCDDSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010002329 Aneurysm Diseases 0.000 description 1
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 1
- 238000012935 Averaging Methods 0.000 description 1
- 108010039209 Blood Coagulation Factors Proteins 0.000 description 1
- 102000015081 Blood Coagulation Factors Human genes 0.000 description 1
- 201000006474 Brain Ischemia Diseases 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 206010008120 Cerebral ischaemia Diseases 0.000 description 1
- 206010053567 Coagulopathies Diseases 0.000 description 1
- 206010012335 Dependence Diseases 0.000 description 1
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 1
- 206010018910 Haemolysis Diseases 0.000 description 1
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 206010020741 Hyperpyrexia Diseases 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- 206010021113 Hypothermia Diseases 0.000 description 1
- 206010061216 Infarction Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- PIWKPBJCKXDKJR-UHFFFAOYSA-N Isoflurane Chemical compound FC(F)OC(Cl)C(F)(F)F PIWKPBJCKXDKJR-UHFFFAOYSA-N 0.000 description 1
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- 229940123685 Monoamine oxidase inhibitor Drugs 0.000 description 1
- 208000007101 Muscle Cramp Diseases 0.000 description 1
- 206010029350 Neurotoxicity Diseases 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 229920002614 Polyether block amide Polymers 0.000 description 1
- 206010058046 Post procedural complication Diseases 0.000 description 1
- 101100244562 Pseudomonas aeruginosa (strain ATCC 15692 / DSM 22644 / CIP 104116 / JCM 14847 / LMG 12228 / 1C / PRS 101 / PAO1) oprD gene Proteins 0.000 description 1
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 206010038678 Respiratory depression Diseases 0.000 description 1
- 206010039203 Road traffic accident Diseases 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 208000032851 Subarachnoid Hemorrhage Diseases 0.000 description 1
- 229910052771 Terbium Inorganic materials 0.000 description 1
- 108090000373 Tissue Plasminogen Activator Proteins 0.000 description 1
- 102000003978 Tissue Plasminogen Activator Human genes 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- KGYFOSCXVAXULR-SJLPKXTDSA-N [(3r,4s)-1-methyl-4-phenyl-3-prop-2-enylpiperidin-4-yl] propanoate Chemical compound C=1C=CC=CC=1[C@]1(OC(=O)CC)CCN(C)C[C@H]1CC=C KGYFOSCXVAXULR-SJLPKXTDSA-N 0.000 description 1
- LFLUADVCIBEPQJ-MELYUZJYSA-N [(3s,4r)-1,3-dimethyl-4-phenylpiperidin-4-yl] propanoate;hydrochloride Chemical compound Cl.C=1C=CC=CC=1[C@@]1(OC(=O)CC)CCN(C)C[C@@H]1C LFLUADVCIBEPQJ-MELYUZJYSA-N 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 229960002122 acebutolol Drugs 0.000 description 1
- GOEMGAFJFRBGGG-UHFFFAOYSA-N acebutolol Chemical compound CCCC(=O)NC1=CC=C(OCC(O)CNC(C)C)C(C(C)=O)=C1 GOEMGAFJFRBGGG-UHFFFAOYSA-N 0.000 description 1
- 206010000891 acute myocardial infarction Diseases 0.000 description 1
- 238000011374 additional therapy Methods 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 239000000556 agonist Substances 0.000 description 1
- 229950004361 allylprodine Drugs 0.000 description 1
- 230000003321 amplification Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 229940035674 anesthetics Drugs 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 230000008485 antagonism Effects 0.000 description 1
- 230000001078 anti-cholinergic effect Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 230000001754 anti-pyretic effect Effects 0.000 description 1
- 230000002965 anti-thrombogenic effect Effects 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 239000003434 antitussive agent Substances 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 210000000617 arm Anatomy 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 229960002274 atenolol Drugs 0.000 description 1
- 230000003305 autocrine Effects 0.000 description 1
- 210000003403 autonomic nervous system Anatomy 0.000 description 1
- 210000002048 axillary vein Anatomy 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 238000003287 bathing Methods 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 229960004324 betaxolol Drugs 0.000 description 1
- CHDPSNLJFOQTRK-UHFFFAOYSA-N betaxolol hydrochloride Chemical compound [Cl-].C1=CC(OCC(O)C[NH2+]C(C)C)=CC=C1CCOCC1CC1 CHDPSNLJFOQTRK-UHFFFAOYSA-N 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 229960002781 bisoprolol Drugs 0.000 description 1
- VHYCDWMUTMEGQY-UHFFFAOYSA-N bisoprolol Chemical compound CC(C)NCC(O)COC1=CC=C(COCCOC(C)C)C=C1 VHYCDWMUTMEGQY-UHFFFAOYSA-N 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 239000003114 blood coagulation factor Substances 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 210000002302 brachial artery Anatomy 0.000 description 1
- 210000003129 brachiocephalic vein Anatomy 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 229960001222 carteolol Drugs 0.000 description 1
- LWAFSWPYPHEXKX-UHFFFAOYSA-N carteolol Chemical compound N1C(=O)CCC2=C1C=CC=C2OCC(O)CNC(C)(C)C LWAFSWPYPHEXKX-UHFFFAOYSA-N 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 231100000153 central nervous system (CNS) toxicity Toxicity 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 206010008118 cerebral infarction Diseases 0.000 description 1
- 210000004720 cerebrum Anatomy 0.000 description 1
- ZPEIMTDSQAKGNT-UHFFFAOYSA-N chlorpromazine Chemical compound C1=C(Cl)C=C2N(CCCN(C)C)C3=CC=CC=C3SC2=C1 ZPEIMTDSQAKGNT-UHFFFAOYSA-N 0.000 description 1
- 229960001076 chlorpromazine Drugs 0.000 description 1
- 239000011247 coating layer Substances 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 229940000425 combination drug Drugs 0.000 description 1
- 230000002860 competitive effect Effects 0.000 description 1
- 230000003750 conditioning effect Effects 0.000 description 1
- 230000036461 convulsion Effects 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000002681 cryosurgery Methods 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 230000001351 cycling effect Effects 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 108700023159 delta Opioid Receptors Proteins 0.000 description 1
- 102000048124 delta Opioid Receptors Human genes 0.000 description 1
- 238000010520 demethylation reaction Methods 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- DPYMFVXJLLWWEU-UHFFFAOYSA-N desflurane Chemical compound FC(F)OC(F)C(F)(F)F DPYMFVXJLLWWEU-UHFFFAOYSA-N 0.000 description 1
- 229960003537 desflurane Drugs 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- HRLIOXLXPOHXTA-NSHDSACASA-N dexmedetomidine Chemical compound C1([C@@H](C)C=2C(=C(C)C=CC=2)C)=CN=C[N]1 HRLIOXLXPOHXTA-NSHDSACASA-N 0.000 description 1
- 229960004253 dexmedetomidine Drugs 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000003292 diminished effect Effects 0.000 description 1
- PCHPORCSPXIHLZ-UHFFFAOYSA-N diphenhydramine hydrochloride Chemical compound [Cl-].C=1C=CC=CC=1C(OCC[NH+](C)C)C1=CC=CC=C1 PCHPORCSPXIHLZ-UHFFFAOYSA-N 0.000 description 1
- ZPWVASYFFYYZEW-UHFFFAOYSA-L dipotassium hydrogen phosphate Chemical compound [K+].[K+].OP([O-])([O-])=O ZPWVASYFFYYZEW-UHFFFAOYSA-L 0.000 description 1
- 229940120889 dipyrone Drugs 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 238000001211 electron capture detection Methods 0.000 description 1
- 230000009088 enzymatic function Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 229920005570 flexible polymer Polymers 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 235000011187 glycerol Nutrition 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 230000008588 hemolysis Effects 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- KEBHLNDPKPIPLI-UHFFFAOYSA-N hydron;2-(3h-inden-4-yloxymethyl)morpholine;chloride Chemical compound Cl.C=1C=CC=2C=CCC=2C=1OCC1CNCCO1 KEBHLNDPKPIPLI-UHFFFAOYSA-N 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- 230000036543 hypotension Effects 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 230000001976 improved effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 239000012535 impurity Substances 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 230000007574 infarction Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000028709 inflammatory response Effects 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 229960002725 isoflurane Drugs 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 238000002386 leaching Methods 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 210000000265 leukocyte Anatomy 0.000 description 1
- 229960004194 lidocaine Drugs 0.000 description 1
- 238000012886 linear function Methods 0.000 description 1
- 229940126707 lipid peroxidation inhibitor Drugs 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 239000003589 local anesthetic agent Substances 0.000 description 1
- 210000002540 macrophage Anatomy 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910001629 magnesium chloride Inorganic materials 0.000 description 1
- 229940091250 magnesium supplement Drugs 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 238000010297 mechanical methods and process Methods 0.000 description 1
- 230000001404 mediated effect Effects 0.000 description 1
- 238000002483 medication Methods 0.000 description 1
- BUGYDGFZZOZRHP-UHFFFAOYSA-N memantine Chemical compound C1C(C2)CC3(C)CC1(C)CC2(N)C3 BUGYDGFZZOZRHP-UHFFFAOYSA-N 0.000 description 1
- 229960004640 memantine Drugs 0.000 description 1
- 230000037323 metabolic rate Effects 0.000 description 1
- 239000002207 metabolite Substances 0.000 description 1
- DJGAAPFSPWAYTJ-UHFFFAOYSA-M metamizole sodium Chemical compound [Na+].O=C1C(N(CS([O-])(=O)=O)C)=C(C)N(C)N1C1=CC=CC=C1 DJGAAPFSPWAYTJ-UHFFFAOYSA-M 0.000 description 1
- 229960002237 metoprolol Drugs 0.000 description 1
- IUBSYMUCCVWXPE-UHFFFAOYSA-N metoprolol Chemical compound COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 IUBSYMUCCVWXPE-UHFFFAOYSA-N 0.000 description 1
- DDLIGBOFAVUZHB-UHFFFAOYSA-N midazolam Chemical compound C12=CC(Cl)=CC=C2N2C(C)=NC=C2CN=C1C1=CC=CC=C1F DDLIGBOFAVUZHB-UHFFFAOYSA-N 0.000 description 1
- 229960003793 midazolam Drugs 0.000 description 1
- 238000001451 molecular beam epitaxy Methods 0.000 description 1
- 239000002899 monoamine oxidase inhibitor Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 229960004255 nadolol Drugs 0.000 description 1
- VWPOSFSPZNDTMJ-UCWKZMIHSA-N nadolol Chemical compound C1[C@@H](O)[C@@H](O)CC2=C1C=CC=C2OCC(O)CNC(C)(C)C VWPOSFSPZNDTMJ-UCWKZMIHSA-N 0.000 description 1
- 229960000805 nalbuphine Drugs 0.000 description 1
- NETZHAKZCGBWSS-CEDHKZHLSA-N nalbuphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]1(O)CC[C@@H]3O)CN2CC1CCC1 NETZHAKZCGBWSS-CEDHKZHLSA-N 0.000 description 1
- ZHVWWEYETMPAMX-PCWWUVHHSA-N naltriben Chemical compound N1([C@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CC=2C3=CC=CC=C3OC=25)O)CC1)O)CC1CC1 ZHVWWEYETMPAMX-PCWWUVHHSA-N 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 239000004090 neuroprotective agent Substances 0.000 description 1
- 231100000189 neurotoxic Toxicity 0.000 description 1
- 230000002887 neurotoxic effect Effects 0.000 description 1
- 239000002858 neurotransmitter agent Substances 0.000 description 1
- 210000000440 neutrophil Anatomy 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 150000002823 nitrates Chemical class 0.000 description 1
- 229920006113 non-polar polymer Polymers 0.000 description 1
- 230000001465 nonopioid effect Effects 0.000 description 1
- 238000003199 nucleic acid amplification method Methods 0.000 description 1
- 239000003401 opiate antagonist Substances 0.000 description 1
- 239000000014 opioid analgesic Substances 0.000 description 1
- 229940005483 opioid analgesics Drugs 0.000 description 1
- 230000003534 oscillatory effect Effects 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 230000003076 paracrine Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 229960002035 penbutolol Drugs 0.000 description 1
- KQXKVJAGOJTNJS-HNNXBMFYSA-N penbutolol Chemical compound CC(C)(C)NC[C@H](O)COC1=CC=CC=C1C1CCCC1 KQXKVJAGOJTNJS-HNNXBMFYSA-N 0.000 description 1
- VOKSWYLNZZRQPF-GDIGMMSISA-N pentazocine Chemical compound C1C2=CC=C(O)C=C2[C@@]2(C)[C@@H](C)[C@@H]1N(CC=C(C)C)CC2 VOKSWYLNZZRQPF-GDIGMMSISA-N 0.000 description 1
- 229960005301 pentazocine Drugs 0.000 description 1
- 210000005259 peripheral blood Anatomy 0.000 description 1
- 239000011886 peripheral blood Substances 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 238000005240 physical vapour deposition Methods 0.000 description 1
- 229960002508 pindolol Drugs 0.000 description 1
- PHUTUTUABXHXLW-UHFFFAOYSA-N pindolol Chemical compound CC(C)NCC(O)COC1=CC=CC2=NC=C[C]12 PHUTUTUABXHXLW-UHFFFAOYSA-N 0.000 description 1
- 210000002381 plasma Anatomy 0.000 description 1
- 230000033885 plasminogen activation Effects 0.000 description 1
- 238000007747 plating Methods 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 238000003752 polymerase chain reaction Methods 0.000 description 1
- 102000040430 polynucleotide Human genes 0.000 description 1
- 108091033319 polynucleotide Proteins 0.000 description 1
- 239000002157 polynucleotide Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 210000002970 posterior hypothalamus Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 229960003712 propranolol Drugs 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000004043 responsiveness Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 108010073863 saruplase Proteins 0.000 description 1
- 235000013580 sausages Nutrition 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 239000010944 silver (metal) Substances 0.000 description 1
- 210000003491 skin Anatomy 0.000 description 1
- 235000011121 sodium hydroxide Nutrition 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 229960002370 sotalol Drugs 0.000 description 1
- ZBMZVLHSJCTVON-UHFFFAOYSA-N sotalol Chemical compound CC(C)NCC(O)C1=CC=C(NS(C)(=O)=O)C=C1 ZBMZVLHSJCTVON-UHFFFAOYSA-N 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 238000004544 sputter deposition Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 230000000707 stereoselective effect Effects 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 210000003270 subclavian artery Anatomy 0.000 description 1
- 210000001321 subclavian vein Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 229910052717 sulfur Inorganic materials 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 210000002820 sympathetic nervous system Anatomy 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 229960004605 timolol Drugs 0.000 description 1
- 229960000187 tissue plasminogen activator Drugs 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
- 230000009529 traumatic brain injury Effects 0.000 description 1
- 210000003454 tympanic membrane Anatomy 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
- 210000001186 vagus nerve Anatomy 0.000 description 1
- 238000007740 vapor deposition Methods 0.000 description 1
- 238000013022 venting Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F7/123—Devices for heating or cooling internal body cavities using a flexible balloon containing the thermal element
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
Landscapes
- Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Thermal Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
- External Artificial Organs (AREA)
Abstract
L'invention concerne un système de régulation de la température du corps humain. Le système comprend une sonde à demeure pourvue d'un élément de transfert de chaleur monté sur une tête. La sonde est couplée de manière fluidique à une console permettant à un fluide caloporteur de transfert de chaleur réchauffé ou refroidi d'échanger de la chaleur avec l'élément de transfert de chaleur, réchauffant ou refroidissant ainsi le sang. Le sang réchauffé ou refroidi réchauffe ou refroidit alors le corps du patient ou une partie sélectionnée de celui-ci. L'invention concerne en particulier des méthodes et des dispositifs, y compris des logiciels, de refoidissement ou de réchauffement et de régulation du refroidissement ou du réchauffement à partir d'une température contrôlée projetée mesurée par un capteur de température dans la sonde.
Applications Claiming Priority (19)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US31240901P | 2001-08-15 | 2001-08-15 | |
| US60/312,409 | 2001-08-15 | ||
| US31605701P | 2001-08-29 | 2001-08-29 | |
| US60/316,057 | 2001-08-29 | ||
| US31692201P | 2001-08-31 | 2001-08-31 | |
| US60/316,922 | 2001-08-31 | ||
| US32294501P | 2001-09-14 | 2001-09-14 | |
| US60/322,945 | 2001-09-14 | ||
| US32825901P | 2001-10-09 | 2001-10-09 | |
| US32832001P | 2001-10-09 | 2001-10-09 | |
| US60/328,320 | 2001-10-09 | ||
| US60/328,259 | 2001-10-09 | ||
| US33678301P | 2001-11-07 | 2001-11-07 | |
| US60/336,783 | 2001-11-07 | ||
| US10/117,733 US6702841B2 (en) | 1998-01-23 | 2002-04-04 | Method of manufacturing a heat transfer element for in vivo cooling |
| US10/117,733 | 2002-04-04 | ||
| US10/219,874 | 2002-08-14 | ||
| US10/219,874 US6974463B2 (en) | 1999-02-09 | 2002-08-14 | System and method for patient temperature control employing temperature projection algorithm |
| PCT/US2002/025824 WO2003015673A1 (fr) | 2001-08-15 | 2002-08-15 | Systeme et methode de regulation de la temperature d'un patient a l'aide d'un algorithme de projection de temperature |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2454607A1 CA2454607A1 (fr) | 2003-02-27 |
| CA2454607C true CA2454607C (fr) | 2010-04-06 |
Family
ID=27739559
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2454607A Expired - Fee Related CA2454607C (fr) | 2001-08-15 | 2002-08-15 | Systeme et methode de regulation de la temperature d'un patient a l'aide d'un algorithme de projection de temperature |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1416892A4 (fr) |
| JP (1) | JP2004538087A (fr) |
| AU (1) | AU2002326640B2 (fr) |
| CA (1) | CA2454607C (fr) |
| WO (1) | WO2003015673A1 (fr) |
Families Citing this family (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6383210B1 (en) | 2000-06-02 | 2002-05-07 | Innercool Therapies, Inc. | Method for determining the effective thermal mass of a body or organ using cooling catheter |
| US7458984B2 (en) | 1998-01-23 | 2008-12-02 | Innercool Therapies, Inc. | System and method for inducing hypothermia with active patient temperature control employing catheter-mounted temperature sensor and temperature projection algorithm |
| US6974463B2 (en) | 1999-02-09 | 2005-12-13 | Innercool Therapies, Inc. | System and method for patient temperature control employing temperature projection algorithm |
| US7914564B2 (en) | 1999-02-09 | 2011-03-29 | Innercool Therapies, Inc. | System and method for patient temperature control employing temperature projection algorithm |
| US6682473B1 (en) | 2000-04-14 | 2004-01-27 | Solace Therapeutics, Inc. | Devices and methods for attenuation of pressure waves in the body |
| US10327880B2 (en) | 2000-04-14 | 2019-06-25 | Attenuex Technologies, Inc. | Attenuation device for use in an anatomical structure |
| US7374532B2 (en) | 2000-04-14 | 2008-05-20 | Attenuex Technologies, Inc. | High vapor pressure attenuation device |
| US20070093697A1 (en) * | 2005-10-21 | 2007-04-26 | Theranova, Llc | Method and apparatus for detection of right to left shunting in the cardiopulmonary vasculature |
| JP2007167127A (ja) * | 2005-12-19 | 2007-07-05 | Atsuo Mori | 局所冷却カテーテル |
| AU2008237177A1 (en) | 2007-04-05 | 2008-10-16 | Velomedix, Inc | Automated therapy system and method |
| US8439960B2 (en) | 2007-07-09 | 2013-05-14 | Velomedix, Inc. | Hypothermia devices and methods |
| EP2367503A1 (fr) | 2008-11-25 | 2011-09-28 | AttenueX Technologies, Inc. | Implant avec milieu à pression de vapeur élevée |
| US8608696B1 (en) | 2009-02-24 | 2013-12-17 | North Carolina State University | Rapid fluid cooling devices and methods for cooling fluids |
| WO2012006625A2 (fr) | 2010-07-09 | 2012-01-12 | Velomedix, Inc. | Procédé et appareil de mesure de pression |
| US8894563B2 (en) | 2012-08-10 | 2014-11-25 | Attenuex Technologies, Inc. | Methods and systems for performing a medical procedure |
| WO2020163625A1 (fr) | 2019-02-07 | 2020-08-13 | Solace Therapeutics, Inc. | Dispositif d'atténuation de pression |
| WO2021158775A1 (fr) * | 2020-02-04 | 2021-08-12 | Zoll Circulation, Inc. | Détermination d'une valeur indicative d'une activité thermorégulatrice d'un patient à l'aide d'un système de gestion de température |
| CN114626261B (zh) * | 2022-02-15 | 2025-08-29 | 国家石油天然气管网集团有限公司 | 摄影测量技术结合数值模拟的管道地质环境安全评估方法 |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5837003A (en) * | 1993-02-10 | 1998-11-17 | Radiant Medical, Inc. | Method and apparatus for controlling a patient's body temperature by in situ blood temperature modification |
| US6231594B1 (en) * | 1999-08-11 | 2001-05-15 | Radiant Medical, Inc. | Method of controlling body temperature while reducing shivering |
| US6264679B1 (en) * | 1999-08-20 | 2001-07-24 | Radiant Medical, Inc. | Heat exchange catheter with discrete heat exchange elements |
-
2002
- 2002-08-15 JP JP2003520434A patent/JP2004538087A/ja active Pending
- 2002-08-15 CA CA2454607A patent/CA2454607C/fr not_active Expired - Fee Related
- 2002-08-15 WO PCT/US2002/025824 patent/WO2003015673A1/fr not_active Ceased
- 2002-08-15 EP EP02761366A patent/EP1416892A4/fr not_active Withdrawn
- 2002-08-15 AU AU2002326640A patent/AU2002326640B2/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP1416892A1 (fr) | 2004-05-12 |
| EP1416892A4 (fr) | 2010-10-20 |
| AU2002326640B2 (en) | 2008-05-01 |
| WO2003015673A9 (fr) | 2004-05-06 |
| WO2003015673A1 (fr) | 2003-02-27 |
| WO2003015673A8 (fr) | 2003-08-14 |
| JP2004538087A (ja) | 2004-12-24 |
| CA2454607A1 (fr) | 2003-02-27 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US6974463B2 (en) | System and method for patient temperature control employing temperature projection algorithm | |
| US7351254B2 (en) | Method and device for patient temperature control employing optimized rewarming | |
| US6869440B2 (en) | Method and apparatus for patient temperature control employing administration of anti-shivering agents | |
| US7914564B2 (en) | System and method for patient temperature control employing temperature projection algorithm | |
| CA2537654C (fr) | Systeme et methode permettant d'induire une hypothermie avec regulation active de la temperature d'un patient a l'aide d'un capteur de temperature monte sur une sonde et algorithme de projection de temperature | |
| US9445940B2 (en) | System and method for inducing hypothermia with control and determination of catheter pressure | |
| US6585752B2 (en) | Fever regulation method and apparatus | |
| CA2454607C (fr) | Systeme et methode de regulation de la temperature d'un patient a l'aide d'un algorithme de projection de temperature | |
| US20060136023A1 (en) | Method and apparatus for patient temperature control employing administration of anti-shivering agents | |
| AU2002326640A1 (en) | System and method for patient temperature control employing temperature projection algorithm | |
| US7422600B2 (en) | Method and apparatus for patient temperature control employing administration of anti-shivering agents | |
| US7850723B1 (en) | Method and apparatus for patient temperature control employing titration of therapy using EEG signals | |
| AU2002246582B2 (en) | Fever regulation method and apparatus | |
| WO2003013344A2 (fr) | Methode et dispositif de regulation de la temperature d'un patient utilisant un rechauffement optimise |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKLA | Lapsed |
Effective date: 20200831 |