Evidence map›Paper›PMID 21647717›Full record

ArticleIntensive care medicine2011

Brain temperature in volunteers subjected to intranasal cooling.

L Covaciu, J Weis, C Bengtsson, M Allers, A Lunderquist, H Ahlström, S Rubertsson

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04973085 (Effect of a Novel Cooling Device on Brain Temperature), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04973085 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of a Novel Cooling Device on Brain Temperature

TypeinterventionalSponsorUniversity of VermontRan2021 to 2022Enrolled22ConditionsHealthyArmsCold circulated water, Body-temperature circulated water
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Active conductive head cooling of normal and infarcted brain: A magnetic resonance spectroscopy imaging study.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Image-guided thermal ablation with MR-based thermometry.Quantitative imaging in medicine and surgery · 2017
    Review
  11. An injured brain needs cooling down: no.Intensive care medicine · 2015
    Article
  12. Article
  13. Article
  14. In cold blood: intraarteral cold infusions for selective brain cooling in stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
    Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Therapeutic hypothermia for acute neurological injuries.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2012
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

L CovaciuDepartment of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, 751 85, Uppsala, Sweden, lucian.covaciu@akademiska.se.
J Weis
C Bengtsson
M Allers
A Lunderquist
H Ahlström
S Rubertsson
Uppsala University · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntranasal cooling can be used to initiate therapeutic hypothermia. However, direct measurement of brain temperature is difficult and the intra-cerebral distribution of temperature changes with cooling is unknown. The purpose of this study was to measure the brain temperature of human volunteers subjected to intranasal cooling using non-invasive magnetic resonance (MR) methods.

methodsIntranasal balloons catheters circulated with saline at 20°C were applied for 60 min in ten awake volunteers. No sedation was used. Brain temperature changes were measured and mapped using MR spectroscopic imaging (MRSI) and phase-mapping techniques. Heart rate and blood pressure were monitored throughout the experiment. Rectal temperature was measured before and after the cooling. Mini Mental State Examination (MMSE) test and nasal inspection were done before and after the cooling. Questionnaires about the subjects' personal experience were completed after the experiment.

resultsBrain temperature decrease measured by MRSI was -1.7 ± 0.8°C and by phase-mapping -1.8 ± 0.9°C (n = 9) at the end of cooling. Spatial distribution of temperature changes was relatively uniform. Rectal temperature decreased by -0.5 ± 0.3°C (n = 5). The physiological parameters were stable and no shivering was reported. The volunteers remained alert during cooling and no cognitive dysfunctions were apparent in the MMSE test. Postcooling nasal examination detected increased nasal secretion in nine of the ten volunteers. Volunteers' acceptance of the method was good.

conclusionBoth MR techniques revealed brain temperature reductions after 60 min of intranasal cooling with balloons circulated with saline at 20°C in awake, unsedated volunteers.

Indexed as

Administration, IntranasalAdultBody TemperatureBrainCatheterizationFemaleHumansHypothermia, InducedMagnetic Resonance SpectroscopyMaleMiddle AgedMonitoring, PhysiologicSodium ChlorideThermographyYoung AdultSodium Chloride

Identifiers

PMID21647717
OpenAlexW1974971854

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.