Document Type

Thesis

Date of Award

5-31-1989

Degree Name

Master of Science in Biomedical Engineering - (M.S.)

Department

Biomedical Engineering Committee

First Advisor

Peter Engler

Second Advisor

David S. Kristol

Third Advisor

Stanley S. Reisman

Abstract

In search for a more effective treatment for rewarming of profound accidental hypothermia, a comparative survival rate study was conducted of intrashock versus postshock microwave rewarming in rats subjected to hemorrhagic shock. In an anechoic chamber, rats were illuminated with 50 Watts of continuous microwave power supplied by a 915 MHz microwave generator. This frequency corresponds to a free-space wavelength of about 33 cm. The incident-power density was calculated to be about 8.5 mW/cm2, and the whole-body specific absorption rate (SAR) was calculated to be 14.5 W/kg.

The microwave postshock group showed a significantly higher post shock survival rate than the microwave intrashock group (P<0.001, Fischer's exact test) or the control group (P<0.001, Fischer's exact test). Each group consisted of 10 animals. From the microwave postshock group, 30 % of the animals survived for more than 72 hrs post shock. The microwave intrashock group had no long-term survivors (>72 hrs post shock), and only 10 % of the animals in the control group (allowed to maintain their own body temperatures without any external intervention) survived hemorrhagic shock. This significantly higher survival rate in the microwave postshock group indicates a clinical potential for utilizing microwave energy for active rewarming of profound accidental hypothermia victims.

The high mortality rate of the microwave intrashock group confirms the premature vasodilation phenomenon. It is believed that intrashock rewarming is detrimental to long-term survival of the laboratory animals. It is suggested that animals should be allowed to autoregulate their own body temperatures during shock, and that rewarming techniques should be restricted to the post shock period.

The pattern of core temperature increases in the two experimental groups strongly suggests the presence of centrally located thermal receptors elsewhere in the body than just the hypothalamus.

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