Continuous venovenous rewarming: results from a juvenile animal model

Crit Care Med. 1998 Dec;26(12):2016-20. doi: 10.1097/00003246-199812000-00033.

Abstract

Objective: To compare a standard and an experimental method of rewarming in 5-wk-old goats with induced moderate hypothermia.

Design: Hypothermia was induced in ten juvenile Nubian goats. Five goats were randomly assigned to be rewarmed using standard techniques, and five were assigned to the experimental rewarming technique of a modified continuous venovenous hemofiltration circuit.

Setting: Animal research facility, Greenville Hospital System/Clemson University Biomedical Cooperative, Clemson, S.C.

Subjects: Ten 5-wk-old goats.

Interventions: Hypothermia to a body temperature of 29.4 degrees C was induced in the goats. Each of the control group of five goats was rewarmed using standard methods. Each of the experimental group of five goats was rewarmed using a modified continuous venovenous hemofiltration circuit.

Measurements and main results: At 2 hrs, the median temperature increase in the experimental group was 6.5 degrees C, compared with an increase of only 1.5 degrees C in the control group (p=.02). The mean increase in core body temperature over time (from baseline to 150 mins) was also significantly greater in the experimental group (p=.006).

Conclusions: The use of a modified continuous venovenous hemofiltration circuit for rewarming in a juvenile goat model after induction of moderate hypothermia is more effective than are standard methods.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Animals
  • Body Temperature
  • Disease Models, Animal*
  • Equipment Design
  • Feasibility Studies
  • Goats
  • Hemofiltration / instrumentation
  • Hemofiltration / methods*
  • Hot Temperature / therapeutic use*
  • Hypothermia / metabolism
  • Hypothermia / physiopathology
  • Hypothermia / therapy*
  • Random Allocation
  • Severity of Illness Index
  • Time Factors