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Systemic Hypothermia Via Gastric Cooling

Arch Surg. 1966;92(1):80-82. doi:10.1001/archsurg.1966.01320190082017.
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S YSTEMIC hypothermia is used as an adjunct in the armamentarium of the physician and surgeon in a variety of therapeutic procedures. It is conventionally induced by the inelegant means of immersing the subject in a tub of ice water, by the use of cooling blankets, or by direct cooling of blood in an extracorporeal unit. Gastric cooling as a means of inducing systemic hypothermia has been described, but the rate of cooling was slower and less efficient than that possible with the other techniques.1-3 Further, rupture of the stomach has been reported as a consequence of using conventional gastric hypothermia techniques.4

In the course of animal studies on the use of an intragastric pressure monitor to increase the safety of the gastric hypothermia procedure, we found that a much larger volume of coolant could be safely used than was suggested in the literature (including that accompanying the


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