Abstract: A kit for establishing and maintaining hypothermia in a patient for neurotherapeutic purposes includes a high cooling capacity catheter that is advanced into the patient's central venous system to quickly cool the patient to, e.g., 32° C. or so. Once hypothermia has been established, the high capacity catheter is removed and replaced with a lower cooling capacity catheter which maintains a desired reduced temperature. The lower capacity catheter advantageously can be configured as a central venous catheter for permitting the catheter to be used for multiple functions. Alternatively, the high cooling capacity catheter can be used to attenuate a fever and lower the patient's body temperature to normal, with the lower capacity catheter being used to maintain normal body temperature.

Abstract: A machine-driven automatic fever abatement system treats or prevents fever in hospital patients by administering medication, coolant, or other antipyretic means. The system includes a path, a flow device, a source of treatment substance, fever-characteristic sensors, and a controller. The path may be an open-ended structure, such as a tube, or a closed-ended structure such as a catheter with a sealed, internal path. The path is coupled to one or more bodily sites of the patient. The path is coupled to the flow device, which is itself attached to the source. The source contains a treatment substance such as medication (in the case of an open-ended path) or a coolant (in the case of a closed-ended path). One or more fever characteristic sensors are attached to various sites on the patient, for sensing temperature, metabolic rate, and/or other fever-affected physiological properties.

Abstract: A heat exchanger to remove heat from coolant in a closed circuit cooling catheter includes two heat exchange stages. Each stage includes a heat exchange element, such as a group of hollow fibers, and a TEC array juxtaposed with the heat exchange element to remove heat from the element. The elements are in fluid series with each other and are separated from each other by a thermal barrier. A thermal interface can be provided between each element and its TEC array. In one embodiment, the thermal interface is a gel layer. In another embodiment, the thermal interface is an ethylene glycol bath.

Abstract: An introducer sheath for a central venous catheter includes a sheath body and a temperature sensor mounted distally on the body. Either the catheter or sheath has a heat exchange region through which coolant is circulated to effect heat exchange with the body, with the coolant temperature being controlled in response to signals from the temperature sensor. Arterial dialysis heat exchange catheters and jugular bulb heat exchange catheters are also disclosed.

Abstract: A method for treating cardiac arrest includes defibrillating the patient and/or ventilating the patient and/or administering a cardiac arrest drug such as epinephrine to resuscitate the patient, and then cooling the patient's body temperature using one or more cooling catheters positioned in the central venous system of the patient and/or particularly cooling the patient's brain temperature using a catheter advanced into the aortic arch or into the carotid artery whereby a bolus of cold saline solution is introduced into the blood supplied to the brain to lower the brain temperature quickly, and further cooling or maintaining the brain temperature at a desired level by pumping coolant in a closed circuit formation between the catheter and the coolant source to remove heat from the blood supplied to the patient's brain.

Abstract: A method for treating cardiac arrest includes defibrillating the patient and/or ventilating the patient and/or administering a cardiac arrest drug such as epinephrine to resuscitate the patient, and then cooling the patient's body temperature using one or more cooling catheters positioned in the central venous system of the patient and/or particularly cooling the patient's brain temperature using a catheter advanced into the aortic arch or into the carotid artery whereby a bolus of cold saline solution is introduced into the blood supplied to the brain to lower the brain temperature quickly, and further cooling or maintaining the brain temperature at a desired level by pumping coolant in a closed circuit formation between the catheter and the coolant source to remove heat from the blood supplied to the patient's brain.