Hypercapnia effect on core cooling and shivering threshold during snow burial

Aviation Space and Environmental Medicine

Volumn 79, Issue 8, 2008, Pages 735-742

  Grissom, Colin K ^a,b   McAlpine, John C ^c   Harmston, Chris H ^d   Radwin, Martin I ^e   Giesbrecht, Gordon G ^f   Scholand, Mary Beth ^b   Morgan, J Scott ^g  

^a INTERMOUNTAIN MEDICAL CENTER   (United States)

^b UNIVERSITY OF UTAH   (United States)

^c UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^d Sorenson Genomics   (United States)

^e Granger Medical Clinic   (United States)

^f UNIVERSITY OF MANITOBA   (Canada)

^g DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

Afterdrop; Avalanche rescue; Hypothermia

Indexed keywords

CARBON DIOXIDE; OXYGEN; SNOW;

ADULT; AMBIENT AIR; ARTICLE; AVALANCHE BURIAL; BREATHING MUSCLE; COOLING; FEMALE; HEAT LOSS; HUMAN; HYPERCAPNIA; LUNG GAS EXCHANGE; LUNG MINUTE VOLUME; MALE; METABOLIC RATE; NORMAL HUMAN; POSTHUMOUS CARE; RECTUM TEMPERATURE; SHIVERING; STATISTICAL SIGNIFICANCE; TEMPERATURE; THERMOGENESIS;

ADULT; BODY TEMPERATURE; CARBON DIOXIDE; FEMALE; HUMANS; HYPERCAPNIA; MALE; MOUNTAINEERING; NATURAL DISASTERS; RECTUM; SHIVERING; SNOW; TIME FACTORS;

EID: 48649088788     PISSN: 00956562     EISSN: None     Source Type: Journal    
DOI: 10.3357/ASEM.2261.2008     Document Type: Article

References (30)

1. Brugger H, Durrer B, Adler-Kastner L. On-site triage of avalanche victims with asystole by the emergency doctor. Resuscitation 1996; 31:11-6.
2. Brugger H, Durrer B, Adler-Kastner L, Falk M, Tschirky F. Field management of avalanche victims. Resuscitation 2001; 51:7-15.
3. Brugger H, Durrer B. On-site treatment of avalanche victims ICAR-MEDCOM-Recommendations. High Alt Med Biol 2002; 3:421-5.
4. Brugger H, Sumann G, Meister R, Adler-Kastner L, Mair P, et al. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival. Resuscitation 2003; 58:81-8.
5. Bullard RW, Crise JR. Effects of carbon dioxide on cold-exposed human subjects. J Appl Physiol 1961; 16:633-8.
6. Cheng C, Matsukawa T, Sessler DI, Ozaki M, Kurz A, et al. Increasing mean skin temperature linearly reduces the core-temperature thresholds for vasoconstriction and shivering in humans. Anesthesiology 1995; 82:1160-8.
7. Coast JR, Rasmussen SA, Krause KM, O'Kroy JA, Loy RA, et al. Ventilatory work and oxygen consumption during exercise and hyperventilation. J Appl Physiol 1993; 74:793-8.
8. Falk M, Brugger H, Adler-Kastner L. Avalanche survival chances. Nature 1994; 368:21.
9. Giesbrecht GG, Bristow GK, Uin A, Ready AE, Jones RA. Effectiveness of three field treatments for induced mild (33.0 degrees C) hypothermia. J Appl Physiol 1987; 63:2375-9.
10. Giesbrecht GG, Bristow GK. A second postcooling afterdrop: more evidence for a convective mechanism. J Appl Physiol 1992; 73:1253-8.
11. Giesbrecht GG, Lockhart TL, Bristow GK, Steinman AM. Thermal effects of dorsal head immersion in cold water on nonshivering humans. J Appl Physiol 2005; 99:1958-64.
12. Grissom CK, Radwin MI, Harmston CH, Hirshberg EL, Crowley TJ. Respiration during snow burial using an artificial air pocket. JAMA 2000; 283:2261-71.
13. Grissom CK, Radwin MI, Scholand MB, Harmston CH, Muetterties MC, et al. Hypercapnia increases core temperature cooling rate during snow burial. J Appl Physiol 2004; 96:1365-70.
14. Grissom CK, Harmston CH, Hirshberg EL, McAlpine JC, Radwin MI, et al. Core body temperature afterdrop and rewarming after burial in snow [abstract]. Wilderness Environ Med 2006; 17:59.
15. Grossman MD, Saffle JR, Thomas F, Tremper B. Avalanche trauma. J Trauma 1989; 29:1705-9.
16. Hayward JS, Eckerson JD, Kemna D. Thermal and cardiovascular changes during three methods of resuscitation from mild hypothermia. Resuscitation 1984; 11(1-2):21-33.
17. Johnston CE, Elias DA, Ready AE, Giesbrecht GG. Hypercapnia lowers the shivering threshold and increases core cooling rate in humans. Aviat Space Environ Med 1996; 67:438-44.
18. Johnston CE, White MD, Wu M, Bristow GK, Giesbrecht GG. Eucapnic hypoxia lowers human cold thermoregulatory response thresholds and accelerates core cooling. J Appl Physiol 1996; 80:422-9.
19. Locher T, Walpoth BH. Differential diagnosis of circulatory failure in hypothermic avalanche victims: retrospective analysis of 32 avalanche accidents. Schweiz Rundsch Med Prax 1996; 85:1275-82.
20. 2 inhalation on shivering thermogenesis during cold-water immersion. Undersea Hyperb Med 1993; 20:215-24.
21. Lun V, Sun JC, Giesbrecht GG, Mekjavic IB. Shivering thermogenesis during acute hypercapnia. Can J Physiol Pharmacol 1994; 72:238-42.
22. Matsukawa T, Kurz A, Sessler DI, Bjorksten AR, Merrifield B, et al. Propofol linearly reduces the vasoconstriction and shivering thresholds. Anesthesiology 1995; 82:1169-80.
23. McClung D, Schaerer P. The avalanche handbook .Seattle: The Mountaineers; 1993.
24. Mekjavic IB, Sundberg CJ, Linnarsson D. Core temperature "null zone". J Appl Physiol 1991;71:1289-95.
25. Mittleman KD, Mekjavic IB. Effect of occluded venous return on core temperature during cold water immersion. J Appl Physiol 1988; 65:2709-13.
26. Mokhtarani M, Mahgoub AN, Morioka N, Doufas AG, Dae M, et al. Buspirone and meperidine synergistically reduce the shivering threshold. Anesth Analg 2001; 93:1233-9.
27. Nicolaou G, Chen AA, Johnston CE, Kenny GP, Bristow GK, et al. Clonidine decreases vasoconstriction and shivering thresholds, without affecting the sweating threshold. Can J Anaesth 1997; 44:636-42.
28. Spiegel R. Rescuing an avalanche victim alive after 20 hours . In: Airmed 2002; 2002; Interlaken, Switzerland: Rega (available on CD-ROM from Airmed 2002 c/o Rega, CH-8058 Zurich Airport, Switzerland);2002.
29. Vanggaard L, Eyolfson D, Xu X, Weseen G, Giesbrecht GG. Immersion of distal arms and legs in warm water (AVA rewarming) effectively rewarms mildly hypothermic humans. Aviat Space Environ Med 1999; 70:1081-8.
30. Wagner JA, Matsushita K, Horvath SM. Effects of carbon dioxide inhalation on physiological responses to cold. Aviat Space Environ Med 1983; 54:1074-9.