Evidence map›Paper›PMID 25685058›Full record

ArticleBMC anesthesiology2015

Temperature modulation with an esophageal heat transfer device - a pediatric swine model study.

Erik B Kulstad, Melissa Naiman, Patrick Shanley, Frank Garrett, Todd Haryu, Donald Waller, Farshid Azarafrooz, Daniel Mark Courtney

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 6 institutions in 1 country.

Erik B KulstadDepartment of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL 60453 USA ; Department of Emergency Medicine, University of Illinois at Chicago, Chicago, IL 60612 USA.
Melissa NaimanCenter for Advanced Design, Research, and Exploration (CADRE), University of Illinois at Chicago, 1737 W. Polk Street, Suite B14, Chicago, IL 60612 USA.
Patrick ShanleyAdvanced Cooling Therapy, 3440 S. Dearborn Street, #215-S, Chicago, IL 60616 USA.
Frank GarrettGarrett Technologies, 1955 Techny Road, Suite #1, Northbrook, IL 60062 USA.
Todd HaryuPreLabs, LLC, 33 Chicago Avenue, Oak Park, IL 60302 USA.
Donald WallerPreLabs, LLC, 33 Chicago Avenue, Oak Park, IL 60302 USA.
Farshid AzarafroozDepartment of Comparative Medicine, Loyola University Medical Center, Maywood, IL 60153 USA.
Daniel Mark CourtneyDepartment of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 211 E. Ontario suite 200, Chicago, IL 60611 USA.
Advanced Cooling Technologies (United States) · USAdvocate Christ Medical Center · USGarrett Technologies (United States) · USLoyola University Medical Center · USNorthwestern University · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of conditions appear to benefit from control and modulation of temperature, but available techniques to control temperature often have limitations, particularly in smaller patients with high surface to mass ratios. We aimed to evaluate a new method of temperature modulation with an esophageal heat transfer device in a pediatric swine model, hypothesizing that clinically significant modulation in temperature (both increases and decreases of more than 1°C) would be possible.

methodsThree female Yorkshire swine averaging 23 kg were anesthetized with inhalational isoflurane prior to placement of the esophageal device, which was powered by a commercially available heat exchanger. Swine temperature was measured rectally and cooling and warming were performed by selecting the appropriate external heat exchanger mode. Temperature was recorded over time in order to calculate rates of temperature change. Histopathology of esophageal tissue was performed after study completion.

resultsAverage swine baseline temperature was 38.3°C. Swine #1 exhibited a cooling rate of 3.5°C/hr; however, passive cooling may have contributed to this rate. External warming blankets maintained thermal equilibrium in swine #2 and #3, demonstrating maximum temperature decrease of 1.7°C/hr. Warming rates averaged 0.29°C/hr. Histopathologic analysis of esophageal tissue showed no adverse effects.

conclusionsAn esophageal heat transfer device successfully modulated the temperature in a pediatric swine model. This approach to temperature modulation may offer a useful new modality to control temperature in conditions warranting temperature management (such as maintenance of normothermia, induction of hypothermia, fever control, or malignant hyperthermia).

Indexed as

Body TemperatureEsophagusAnimalsFemaleModels, AnimalRewarmingSwine

Identifiers

PMID25685058
PMCPMC4327961
OpenAlexW1595814178

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.