title: Utilization of rapid infusion system with cold saline in the induction of therapeutic hypothermia.
abstract: OBJECTIVE
  To examine the cooling effectiveness of a rapid infusion system (RIS) during induction of therapeutic hypothermia.
  
  
  METHODS
  This laboratory study simulated the effect of three fluid delivery methods: rapid dripping without any other equipment (control); RIS; pressure bag. Cold energy loss (℃ × min) was calculated as: (temperature of the proximal thermoprobe--temperature of the distal thermoprobe) × (total infusion time).
  
  
  RESULTS
  Infusion time was significantly shorter and cold energy loss significantly lower in the RIS group than in the two other groups.
  
  
  CONCLUSIONS
  RIS preserves the cold energy of fluid more effectively than pressure bag or control. RIS allows for rapid infusion at a constant pressure and can be easily applied in an emergency setting.
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Sung Woong
authors.initials: SW
authors.lastname: Jin
authors.affiliation: Department of Emergency Medicine, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
authors.forename: Yoon Hee
authors.initials: YH
authors.lastname: Choi
authors.affiliation: Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea emdhlee@cau.ac.kr.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Lee
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation / Q000379:methods*; D003080:Cold Temperature; D003128:Coma / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced / Q000295:instrumentation / Q000379:methods*; D007053:Ice; D007262:Infusions, Intravenous; D007362:Intensive Care Units; D016544:Patient Simulation; D012965:Sodium Chloride / Q000008:administration & dosage
chemical_list: D007053:Ice; D012965:Sodium Chloride
keywords: Induced hypothermia; cold saline; rapid infusion system