COLD THERAPY IN BACTEREMIC SHOCK 



Figure 3. Mortality factors. 



a pallor engulfed the rapidly deteriorating patient. Urine flow ceased, 

 leucopenia and metabolic derangements were observed often.Refrac- 

 toriness to therapy, characterized by an almost total breakdown of 

 physiologic compensation.was demonstratedby marked disturbances 

 in sensorium or coma, thready or absent pulse, an arterial blood 

 pressure below 60 mm Hg or unobtainable, and Cheyne-Stokes or 

 Kaussmalbreathing.A surface coolingtechnic was applied utilizing a 

 rubber blanket through which refrigerant fluid (ethyl alcohol) was 

 circulated. The cooling process was stopped at 34° C to 33° C 

 and the patient allowed to drift to a 32° C to 31° C level at which 



423 



