CONTENTS xiii 



PAGE 



Discitssio)! : 



IV. J. Kolfj, 11. Calkins, II. Swan, P. J. Lczms, J. Ilcniey, and C. JJ'. 

 Hughes 399 



The Use of Hypothermia in Cardiac Surgery — Henry Sivan 402 



Clinical experience witli 105 patients. Safe parameters. Causes of death. Indica- 

 tions. 



D i Si- 



lt SSI on: 



F. J. Lewis, J. H. Kay, I. K. R. McMillan, IV. P. Longmire, Jr.. 



J. Calm, C. W. Hughes, and H. Sztmi 409 



REVIEW AND ArPRAISAL OF PART IV 7?. D. DHppS 413 



Protection against ischemia. Specific use in neurosurgery. Use in "shock." Eti'ect 

 on the course of infection. Unanswered problems. 



Part V — Techniques of Inducing Hypothermia 



Problems in Methods of Inducing Hypothermia by Use of External Cool- 

 ing — JV. H. Muller, Jr. and J. P. Dammann 415 



Immersion. Ice bags. Blankets with coils containing a fluid. Air cooling. Pleural 

 perfusion. Peritoneal cooling. Intragastric balloon. Rewarming. Rate of cooling and 

 rewarming. Optimal temperature. Shivering. Ventilation. 



Problems in Methods of Inducing Hypothermia by Use of Drugs and Internal 



Cooling — /. P. Dammann and W. H. Muller, Jr 422 



Three methods. Rate of cooling. Drift of temperature. Shivering. Coronary per- 

 fusion. Maintenance of blood pH. Combination of hypothermia and a pump-oxy- 

 genator. The "lytic cocktail." 



Discussion: 



J. Adams-Ray, A. Riberi, R. 0. Heimbecker, P. Gollan, R. W. Brauer, 



and L. L Goldberg 430 



review AND appraisal OF PART V — R. D. Dripps 439 



Weakness of drugs alone. Advantages of direct blood cooling. Ideal rate of cooling. 

 Downward drift of temperature after cooling. Anesthesia. Respiration. Pump- 

 oxygenators. Rewarming. Apparatus. Differential cooling. 



Attendance 441 



Index of Authors and Discussants 447 



