med 18

 

Precautions

Avoid tight wrapping of mattress. This can lead to excessive

pressure on the skin. (Fig. 45.17)

Advantages (28)

a. Rapid initiation of HT

b. No overshoot of core temperature during induction

c. Variability of core temperature during maintenance

and rewarming phase is minimal.

d. Easy downloading of all temperature data with

memory stick.

3. Blanketrol III (Cincinnati Sub-Zero

Products, Inc., Cincinnati, Ohio) (Fig. 45.18)

Equipment

a. BLANKETROL III unit

b. Hyper-hypothermia blanket

c. Dry sheet, bath blanket or DISPOSA-Cover

d. Connecting hose

e. 400 series probe

f. Lubricating jelly

g. Connector cable for the disposable probes

h. Distilled water

Different modes of cooling are available.

a. Manual mode (Fig. 45.19B): Operation based on

temperature of circulating water relative to the set

blanket/water temperature.

b. Auto Control (Fig. 45.19F): Monitors patient temperature and delivers maximum heating or cooling

therapy to bring patient’s temperature to the set

point.

c. Gradient 10C (Fig. 45.19G): Heats or cools the

patient with water 10°C above or below the patient’s

temperature, until the patient reaches the desired

set temperature.

d. Gradient 10C Smart (Fig. 45.19G, I): Heats or cools

the patient with water 10°C above or below the

patient’s temperature and increases the gradient

5°C until set temperature is reached. When the

patient’s temperature deviates from set point after

having reached the target temperature, the gradient

returns to 10°C.

Fig. 45.17. Tecotherm Neo servocontrolled

cooling. Reusable cooling mattress was wrapped

around the lower body. Insert shows red pressure

area on the knee, where the mattress was wrapped

too tight.