scholarly journals Non-invasive Monitoring of Brain Temperature during Rapid Selective Brain Cooling by Zero-Heat-Flux Thermometry

2019 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Mohammad Fazel Bakhsheshi ◽  
Marjorie Ho ◽  
Lynn Keenliside ◽  
Ting-Yim Lee
Keyword(s):  
Heat Flux ◽  
Body Temperature ◽  
Rectal Temperature ◽  
Brain Temperature ◽  
Whole Body ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Non Invasive ◽  
Temperature Probe ◽  
The Brain

Introduction: Selective brain cooling can minimize systemic complications associated with whole body cooling but maximize neuroprotection. Recently, we developed a non-invasive, portable and inexpensive system for selectively cooling the brain rapidly and demonstrated its safety and efficacy in porcine models. However, the widespread application of this technique in the clinical setting requires a reliable, non-invasive and accurate method for measuring local brain temperature so that cooling and rewarming rates can be controlled during targeted temperature management. In this study, we evaluate the ability of a zero-heat-flux SpotOn sensor, mounted on three different locations, to measure brain temperature during selective brain cooling in a pig model. Computed Tomography (CT) was used to determine the position of the SpotOn patches relative to the brain at different placement locations.Methods and Results: Experiments were conducted on two juvenile pigs. Body temperature was measured using a rectal temperature probe while brain temperature with an intraparenchymal thermocouple probe. A SpotOn patch was taped to the pig’s head at three different locations: 1-2 cm posterior (Location #1, n=1), central forehead (Location #2, n=1); and 1-2 cm anterior and lateral to the bregma i.e., above the eye on the forehead (Location #3, n=1). This cooling system was able to rapidly cool the brain temperature to 33.7 ± 0.2°C within 15 minutes, and maintain the brain temperature within 33-34°C for 4-6 hours before slowly rewarming to 34.8 ± 1.1°C from 33.7 ± 0.2°C, while maintaining the core body temperature (as per rectal temperature probe) above 36°C. We measured a mean bias of -1.1°C, -0.2°C and 0.7°C during rapid cooling in induction phase, maintenance and rewarming phase, respectively. Amongst the three locations, location #2 had the highest correlation (R2 = 0.8) between the SpotOn sensor and the thermocouple probe.Conclusions: This SBC method is able to tightly control the rewarming rate within 0.52 ± 0.20°C/h. The SpotOn sensor placed on the center of the forehead provides a good measurement of brain temperature in comparison to the invasive needle probe.

scholarly journals Brain Cooling: An Economy Mode of Temperature Regulation in Artiodactyls

Physiology ◽  
1998 ◽  
Vol 13 (6) ◽  
pp. 281-286 ◽  
Author(s):  
Claus Jessen
Keyword(s):  
Heat Stress ◽  
Body Temperature ◽  
Heat Loss ◽  
Temperature Regulation ◽  
Thermal Damage ◽  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Free Ranging ◽  
The Brain

Artiodactyls employ selective brain cooling (SBC) regularly during experimental hyperthermia. In free-ranging antelopes, however, SBC often was present when body temperature was low but absent when brain temperature was near 42°C. The primary effect of SBC is to adjust the activity of the heat loss mechanisms to the magnitude of the heat stress rather than to the protection of the brain from thermal damage.

Rectal temperature measurement results in artifactual evidence of selective brain cooling

2001 ◽  
Vol 281 (1) ◽  
pp. R108-R114 ◽  
Author(s):  
Shane K. Maloney ◽  
Andrea Fuller ◽  
Graham Mitchell ◽  
Duncan Mitchell
Keyword(s):  
Rectal Temperature ◽  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Blood Temperature ◽  
Arterial Blood ◽  
The Status ◽  
Conscious Sheep ◽  
Surrogate Measures ◽  
Arterial Blood Temperature

Selective brain cooling (SBC) is defined as a brain temperature cooler than the temperature of arterial blood from the trunk. Surrogate measures of arterial blood temperature have been used in many published studies on SBC. The use of a surrogate for arterial blood temperature has the potential to confound proper identification of SBC. We have measured brain, carotid blood, and rectal temperatures in conscious sheep exposed to 40, 22, and 5°C. Rectal temperature was consistently higher than arterial blood temperature. Brain temperature was consistently cooler than rectal temperature during all exposures. Brain temperature only fell below carotid blood temperature during the final few hours of 40°C exposure and not at all during the 5°C exposure. Consequently, using rectal temperature as a surrogate for arterial blood temperature does not provide a reliable indication of the status of the SBC effector. We also show that rapid suppression of SBC can result if the animals are disturbed.

scholarly journals In Cold Blood: Intraarteral Cold Infusions for Selective Brain Cooling in Stroke

2014 ◽  
Vol 34 (5) ◽  
pp. 743-752 ◽  
Author(s):  
Elga Esposito ◽  
Matthias Ebner ◽  
Ulf Ziemann ◽  
Sven Poli
Keyword(s):  
Side Effects ◽  
Brain Temperature ◽  
Therapeutic Option ◽  
The Body ◽  
Global Cerebral Ischemia ◽  
Body Core Temperature ◽  
Whole Body ◽  
Brain Cooling ◽  
Stroke Patients ◽  
Selective Brain Cooling

Hypothermia is a promising therapeutic option for stroke patients and an established neuroprotective treatment for global cerebral ischemia after cardiac arrest. While whole body cooling is a feasible approach in intubated and sedated patients, its application in awake stroke patients is limited by severe side effects: Strong shivering rewarms the body and potentially worsens ischemic conditions because of increased O2 consumption. Drugs used for shivering control frequently cause sedation that increases the risk of aspiration and pneumonia. Selective brain cooling by intraarterial cold infusions (IACIs) has been proposed as an alternative strategy for patients suffering from acute ischemic stroke. Preclinical studies and early clinical experience indicate that IACI induce a highly selective brain temperature decrease within minutes and reach targeted hypothermia 10 to 30 times faster than conventional cooling methods. At the same time, body core temperature remains largely unaffected, thus systemic side effects are potentially diminished. This review critically discusses the limitations and side effects of current cooling techniques for neuroprotection from ischemic brain damage and summarizes the available evidence regarding advantages and potential risks of IACI.

Thermal signals in control of selective brain cooling

1994 ◽  
Vol 267 (2) ◽  
pp. R355-R359 ◽  
Author(s):  
G. Kuhnen ◽  
C. Jessen
Keyword(s):  
Body Temperature ◽  
Temperature Difference ◽  
Arteriovenous Shunt ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Whole Brain ◽  
Arterial Blood ◽  
The Brain ◽  
Internal Body

In species with a carotid rete, the arterial blood destined for the brain can be cooled on its passage through the rete. The temperature difference between the blood before the rete and the brain is termed selective brain cooling (SBC). The onset and degree of cooling depend on internal body temperature. The aim of this study was to determine the brain sites where the temperature signals driving SBC are generated. Thirty-six experiments were performed in three conscious goats, which were prepared with an arteriovenous shunt, carotid loops, and hypothalamic thermodes to manipulate the temperatures of the trunk (Ttr), the hypothalamus (Thyp), the extrahypothalamic brain (Texh), or the whole brain (Tbr). In all experiments, Ttr was clamped at 39.5 degrees C. The increase of SBC was 2.1 degrees C per 1 degree C increase of Tbr (gain = 2.1). The rise of Thyp at constant Texh yielded a gain of 1.6, whereas the gain of Texh at constant Thyp was 0.7. It is concluded that onset and degree of SBC are predominantly determined by temperature signals generated in the hypothalamus itself.

Selective brain cooling increases cortical cerebral blood flow in rats

1993 ◽  
Vol 265 (3) ◽  
pp. H824-H827 ◽  
Author(s):  
J. W. Kuluz ◽  
R. Prado ◽  
J. Chang ◽  
M. D. Ginsberg ◽  
C. L. Schleien ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Rectal Temperature ◽  
High Speed ◽  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Adult Rats ◽  
Doppler Flowmetry ◽  
Cortical Cerebral Blood Flow

To evaluate the effect of selective brain cooling on cortical cerebral blood flow, we reduced brain temperature in nitrous oxide anesthetized adult rats using a high speed fan while keeping rectal temperature at 37-38 degrees C. During selective brain cooling, cortical cerebral blood flow, as measured by laser-Doppler flowmetry, increased to 215 +/- 26% (mean +/- SE) of baseline at a cortical brain temperature of 30.9 +/- 0.5 degrees C and a rectal temperature of 37.5 +/- 0.1 degrees C. During rewarming, as brain temperature increased, cortical cerebral blood flow decreased. The cerebral vasodilatory response to hypothermia may explain its protective effects during and after cerebral ischemia.

Brain and abdominal temperatures at fatigue in rats exercising in the heat

1998 ◽  
Vol 84 (3) ◽  
pp. 877-883 ◽  
Author(s):  
Andrea Fuller ◽  
Roderick N. Carter ◽  
Duncan Mitchell
Keyword(s):  
Body Temperature ◽  
Critical Level ◽  
Brain Temperature ◽  
Random Order ◽  
Brain Cooling ◽  
Sprague Dawley ◽  
Selective Brain Cooling ◽  
Hypothalamic Region ◽  
Sprague Dawley Rats ◽  
Hot Environments

We measured brain and abdominal temperatures in eight male Sprague-Dawley rats (350–450 g) exercising voluntarily to a point of fatigue in two hot environments. Rats exercised, at the same time of the day, in three different trials, in random order: rest 23°C, exercise 33°C; rest 23°C, exercise 38°C; and rest 38°C, exercise 38°C. Running time to fatigue was 29.4 ± 5.9 (SD), 22.1 ± 3.7, and 14.3 ± 2.9 min for the three trials, respectively. Abdominal temperatures, measured with intraperitoneal radiotelemeters, at fatigue in the three trials (39.9 ± 0.3, 39.9 ± 0.3, and 39.8 ± 0.3°C, respectively) were not significantly different from each other. Corresponding brain temperatures, measured with thermocouples in the hypothalamic region (40.2 ± 0.4, 40.2 ± 0.4, and 40.1 ± 0.4°C), also did not differ. Our results are consistent with the concept that there is a critical level of body temperature beyond which animals will not continue to exercise voluntarily in the heat. Also, in our study, brain temperature was higher than abdominal temperature throughout exercise; that is, selective brain cooling did not occur when body temperature was below the level limiting exercise.

scholarly journals Guttural pouches, brain temperature and exercise in horses

2006 ◽  
Vol 2 (3) ◽  
pp. 475-477 ◽  
Author(s):  
Graham Mitchell ◽  
Andrea Fuller ◽  
Shane K Maloney ◽  
Nicola Rump ◽  
Duncan Mitchell
Keyword(s):  
Brain Temperature ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Free Living ◽  
Heat Injury ◽  
Blood Temperature ◽  
Arterial Blood ◽  
Exchange Function ◽  
The Brain ◽  
Arterial Blood Temperature

Selective brain cooling (SBC) is defined as the lowering of brain temperature below arterial blood temperature. Artiodactyls employ a carotid rete, an anatomical heat exchanger, to cool arterial blood shortly before it enters the brain. The survival advantage of this anatomy traditionally is believed to be a protection of brain tissue from heat injury, especially during exercise. Perissodactyls such as horses do not possess a carotid rete, and it has been proposed that their guttural pouches serve the heat-exchange function of the carotid rete by cooling the blood that traverses them, thus protecting the brain from heat injury. We have tested this proposal by measuring brain and carotid artery temperature simultaneously in free-living horses. We found that despite evidence of cranial cooling, brain temperature increased by about 2.5 °C during exercise, and consistently exceeded carotid temperature by 0.2–0.5 °C. We conclude that cerebral blood flow removes heat from the brain by convection, but since SBC does not occur in horses, the guttural pouches are not surrogate carotid retes.

Rapid brain cooling in diving ducks

1998 ◽  
Vol 275 (2) ◽  
pp. R363-R371
Author(s):  
Michał Caputa ◽  
Lars Folkow ◽  
Arnoldus Schytte Blix
Keyword(s):  
Cold Water ◽  
Buccal Cavity ◽  
Recovery Period ◽  
Brain Cooling ◽  
Selective Brain Cooling ◽  
Diving Ducks ◽  
Pekin Ducks ◽  
Hypoxic Brain ◽  
The Brain ◽  
Crushed Ice

Hypothermia may limit asphyxic damages to the brain, and many small homeotherms have been shown to use anapyrexic strategies when exposed to asphyxic conditions. Larger homeotherms do not seem to use the same strategy, but could save oxygen and prevent hypoxic brain damage by employing selective brain cooling (SBC) in connection with asphyxia. To test the hypothesis that selective brain cooling may take place in connection with asphyxia, we have recorded brain [hypothalamic (THyp)] and body [colonic (TC)] temperatures and heart rates in four Pekin ducks during 5-min simulated (head submersion) diving in cold water (10°C). Diving resulted in a drop in THyp (3.1 ± 1.4°C) that continued into the recovery period ( P < 0.001). Restricting heat loss from the buccal cavity and eyes during diving compromised brain cooling in an additive manner. TC was not influenced by diving. Control cooling of the head with crushed ice during a 5-min period of undisturbed breathing had no effect on THyp. Warm water (35°C) markedly reduced brain cooling, and dive capacity was reduced by ∼14% ( P < 0.05) compared with diving in water at 10°C. The data suggest that SBC is used in ducks during diving, and we propose that this mechanism may enable the bird to save oxygen for prolonged aerobic submergence and to protect the brain from asphyxic damages.

scholarly journals Canine hyperthermia with cerebral protection

1976 ◽  
Vol 40 (4) ◽  
pp. 543-548 ◽  
Author(s):  
R. W. Carithers ◽  
R. C. Seagrave
Keyword(s):  
Core Temperature ◽  
Cold Water ◽  
Brain Temperature ◽  
Body Core Temperature ◽  
Whole Body ◽  
Similar Time ◽  
Data Points ◽  
Body Core ◽  
Heat Transfer System ◽  
The Brain

Extreme whole-body hyperthermia was achieved without lasting side effects in canines by elevating body core temperature to 42 degrees C, using a warm water bath. Cold water irrigation of the nasal alar fold permitted an additional core temperature elevation of 0.5–1.0 degrees C above brain temperature for periods up to 1.5 h. The brain-core temperature differential was maintained by a physiological arteriovenous heat exchanger located at the base of the brain. The maximum tolerable core temperature for the 21 nonirrigated dogs was 42 degrees C for 60–90 min, whereas that for the 28 irrigated dogs was 42.5–43 degrees C for similar time intervals. A mathematical model of the total heat transfer system described the observed dynamic temperature responses. It was the solution of a differential equation which fit the normalized experimental data points and predicted reasonable values for known and unknown experimental parameters.

Sign in / Sign up

Export Citation Format

Share Document