Rewarming by Shivering Heat Production Only Clinical Trial
Official title:
Effectiveness of Heat Donation Through the Head or Torso on Mild Hypothermic Rewarming
The study will compare the rewarming effectiveness of heat donation through the head or the torso during rewarming of mildly hypothermic subjects. Warming will be accomplished through either forced-air warming or using a charcoal heater; both units are commonly used for warming. The investigators hypothesize that head warming will be as, or more, effective compared to
Dr. Gordon Giesbrecht is studying/comparing the effectiveness of heat donation through the
head or the torso in rewarming a mildly hypothermic individual. A rigid forced-air warming
cover for the head or the torso will be used to rewarm the hypothermic individuals.
Subjects will be asked to participate in three experimental trials, separated by at least 48
hours. Each trial will last about 4 hours (1 hour for setup, 1 hour for cooling, and 2 hours
for rewarming and removal of instrumentation).
On each of the three trials, subjects will undergo immersion to the level of the sternal
notch in a tank of 8˚C water for up to 60 minutes. They will then exit the water, be dried
off and lie in a hooded sleeping bag with the head inside the hood where one of the three
warming procedures will be administered for 60 minutes or until core temperature returns to
normal values ( ̴ 36.5-37˚C).
A. Spontaneous rewarming (Shivering Only) - In this control condition, no external heat will
be provided and you will rewarm spontaneously with the heat produced from shivering.
B. Head Warming (Head): Either of these rewarming methods will be used:
- Forced-Air Warming to the Head (FAW-H) - A modified rigid forced-air warming cover will
be placed over your head. Warm air ( ̴43˚C) will blow into the cover through an inlet
on top of the cover and will escape from the bottom of the cover. You will be breathing
warm air (̴ 43˚C).
- Charcoal Heater to the Head (CH-H) - A charcoal heater will be placed on right side of
your face/head with ducts wrapping around the dorsum of the head, anteriorly over the
forehead, nose, chin and the neck, not covering the eyes or the mouth. You will be
breathing ambient air (̴ 22˚C).
C. Torso Warming - Either of these rewarming methods will be used:
- Forced-Air Warming to the Torso (FAW-T) - A specially designed portable rigid
forced-air cover (PORIFAC) will be placed over your torso and the upper thighs. Warm
air (̴ 43˚C) will blow into the cover through an inlet above the abdomen and will
escape from the bottom of the cover. Participant will be breathing ambient air (̴
22˚C).
- Charcoal Heater to the Torso (CH-T) - The charcoal heater will be placed on your
anterior chest with a towel in between. The flexible ducts will be applied to the areas
of high heat transfer i.e. over the shoulders, neck, and then anteriorly under the
axillae to cross over the lower anterior chest. You will be breathing ambient air at
room temperature (~22˚C).
After 60 minutes of warming, subjects will be placed in a warm water bath (40-42˚C) until
they are comfortable and core temperature returns to normal values (̴ 36.5-37˚C).
Outcome measures include rate of core cooling, afterdrop amount, rate of rewarming, skin
heat flux, oxygen consumption and shivering intensity.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01827449 -
Hypothermia Rewarming With Distal Limb Warming
|
N/A |