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Updated: Aug 7, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
Fluid-electrolyte shifts and thermoregulation: Rest and work in heat with head cooling
Abstract:
Plasma volume and thermoregulatory responses were measured, during head and neck cooling with a liquid-cooled neoprene headgear, in four men (21-43 years old) during 60 min of rest, 60 min of ergometer exercise (45% VO2 max), and 30 min of recovery in the supine position at 40.1 degrees C DBT and 40% rh. Compared with control (noncooling) responses, cooling decreased thigh sweating and increased mean skin temperature (Tsk) at rest, and attenuated the increases in thigh sweating by 0.26 mg/min x cm2 (-22.4%, p < 0.05), heart rate by 10 b/min (-8.5%, N.S.), rectal temperature (Tre) by 0.3 degrees C (N.S.), and ventilation by 12.5% (N.S.) during exercise. In recovery, cooling facilitated the decreases in thigh sweat rate, heart rate, Tre, and forearm blood flow, and enhanced the increase in Tsk toward control levels. Cooling had no effect upon plasma protein, osmotic, or electrolyte shifts during rest, exercise, or recovery. Plasma volume (PV) loss during exercise was 11.2% without cooling and 10.9% with cooling. Cooling increased PV by 3% (p < 0.05) during rest, and this differential was maintained throughout the exercise and recovery periods.
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