T???????S ?G?O?

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T???????S ?G?O? ??????S EG??S?S
???e??p? ??a??e??p????? ?a???????-??tat???????? ?p
?µe??t??a ?? ?a?ep?st?µ?a?? ??T ??s. ???
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? ?????p?? ?µ????e?µ? ???ast???

• ?a ?µ????e?µa ???ast??? ????? t?? ??a??t?ta ?a
  d?at????? t? ?e?µ???as?a t?? p????a t?? s?µat??
  s???a e???? t?µ?? a?e?a?t?t?? t?? pe??ßa????t????
  s???????

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F?s???????? ?e?µ???as?a..?

• F?s???????? ?e?µ???as?a s?µat?? st? st?µat???
  ?????t?ta 37?C
• ?????d?a d?a??µa?s? t?? ?e?µ???as?a? t?? p????a
  t?? s?µat?? ap? 0.5-1.0?C

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? ?e?µ???as?a ep??e??eta?

• ?at?stas? stress
• ?at?stas? ??eµ?a? ? d?ast????t?ta?
• ??a t?? ?µ??a?
• ?????a?? ???a
• F???
• S?µe?? t?? s?µat?? ?p?? ?ata???feta?
• ? t?? st?µat?? lt t?? ????? ?at? 0.5?C

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Te?µ?????µ?s?

• ?e?t??µ??a ?e?µ???
  e?e??sµata
• ?e?t????? ??e???? (p??s???? ?a? ?p?s????
  ?p????aµ??)
• ?pa???? e?e??sµata
• ???p?p???s? s?µpe??f???? (?p?s????
  ?p????aµ??)
• ?at? 50 e?e??sµata ap? t?
  d??µa
• ?pa?t?se?? ap? t? a?t?????µ? ?e?????
  S?st?µa
• (p??s???? ?p????aµ??)
• ?at? 80 e?e??sµata ap? t? ?e?µ???as?a
  p????a

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?hermal receptors (cold and warm)
Lateral spinothalamic tracts
Hypothalamus pre-optic nuclei Heat
sensitive and cold sensitive neurons
Posterior hypothalamus (set point)
Warm responses Sweating (370C) Vasodilation
(370C) Behaviour
Cold responses Vasoconstriction
(36,7?C) Shivering (35,5?C) Non-shivering
(360C) Behaviour
Efferent responses
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?? e??a? t? set point?

• ?p?te?e? ?e?µ???d?te?? ???? - apa?t?ta? µ??? st??
  ?????p?
• ???a? ??a ste?? e???? ?e?µ???as?a? (t?p???
  36,7-37,1 ?C) t? ?p??? de? p???a?e? ?aµµ?a
  ap??t?s?
• F?s???????? 0,4 ?C - e?a??es? ?? ???a??e? µ???? 1
  ?C
• F?s???????? ?µe??s?a d?a??µa?s? µ???? 1?C
• ??d??????a pa??????a (?????) - af?d?t?s?

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Te?µ?t?ta - Te?µ???as?a

• ? ?e?µ?t?ta e??a? µ?a µ??f? e????e?a?
• Te?µ???as?a e??a? t? µ?t?? t?? p?s?? t??
  ?e?µ?t?ta? st?? ???a??sµ?
• ?µ???stas?a ?e?µ????es?
• ap??e?a
  ?e?µ?t?ta?

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Te?µ????es?

• ?. ?p???e?t??? pa?a???? ?e?µ?t?ta?
• ?as???? µetaß?????? ???µ?? 40Kcal/m2/??a
• (BMR)

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Te?µ????es?

• ?. ????t??? (µ? ?p???e?t???)
• ?s??s? (20 f???? BMR)
• ????? (6 f???? BMR)
• ?af? ??p?d?? ?st?? (BAT) ?????? sta ?e???? ?a?
  ??? st??? e?????e?
• ?ata????s? fa??t?? ?d?a?te?a p??te????
• O?µ????? ep?d?as? st?? ßas??? µetaß???sµ?

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?p??e?a ?e?µ?t?ta?

1. ??p?µp? a?t???ß???a?
2. ?etaf??? ???? d?af???? ?e?µ???as?a? µ?s? ?e?µ?t??
   a????
3. ?etaf??? µ?s? ?µes?? epaf??
4. ???tµ?s? a?????? t?? 4?? d??aµ?? t?? d?af????
   ?e?µ???as?a? µeta?? t?? as?e???? ?a? t??
   pe??ß?????t??

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• ?p?a ?p??e?µ?a 32-35?C
• ??t??a ?p??e?µ?a 28-32?C
• S?ßa?? ?p??e?µ?a lt28?C

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? ?e????????? a????sa

• ?t?s? ?e?µ???as?a? µ?sa sta p??ta 30?ept? ap? t??
  
• ??a??? t?? a?a?s??s?a?
• ?p??e?a ?e?µ?t?ta? ????
• ?????? pe??ß?????t??
• ?p??e?a? ?e?µ?t?ta? µ?s? t?? ?e?????????? t?µ??
• ??ast???? t?? ?e?µ?????µ?st???? µ??a??sµ??

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??t?µet?p?s? t?? ?p??e?µ?a?

• 1. ?a??t??? ???µa?s?
• 2. ??e???t??? ???µa?s?

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• ? ??????s?
• 1L ????? se Te?µ???as?a 21?C
• ???e µ???d?? a?µat?? e?????? st??? 4?C
• ?e??s? ?at? 0,25?C

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??te ???s?µ?p????µe t??? ?e?µa?t???

• ?ta? a?aµ??eta? pt?s? t?? ?e?µ???as?a?
  
• t?? p????a t?? s?µat?? µe?a??te?? ap? 0.5-1?C

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????

• (TF-TPT) SF
  Vol
• SPT Wt
  
• TF Te?µ???as?a ???????µe??? ?????
• TPT Te?µ???as?a p????a s?µat??
• SF e?d??? ?e?µ?t?ta t?? ???????µe??? ?????
  
• SPT e?d??? ?e?µ?t?ta t?? a????p???? ?st??
• Vol ????? t?? ???????µe??? ?????

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• Te?µa?t?? ????? ???µa?s??
• Te?µa?t?? ????? ???µa?s??

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Te?µa?t?? ????? ???µa?s??

• ?????? t? 1960..?? p??t?? ?e???? ?e?µa?t?? ?????
  ???µa?s??
• ?? s??e?e?a ap? t? 1980..?? de?te??? ?e????
  ?e?µa?t?? ????? ???µa?s??
• ??? s?????se?? se ?µ??e?t???? ???????,
  e??te????? ?????? t? ?e?µa???µe?? ????,
  es?te????? ?????? t? e??e?µe?? ???? se ?µes?
  epaf? ?? d?? s?????se??

Liquid to liquid transmission
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• ?e???e?t?µata
• ?p??e?a ?e?µ?t?ta?
• ???d???? ???µ??e??
• ???d???? a??µ???? t?? d?? ?????
• ??t??s? t?? ?e?µ???as?a? t?? ?e?µa???µe??? ?????
  ?a? ??? t?? te???? e??e?µe??? ?????

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Te?µa?t?? ????? ???µa?s??

• S?????s? e????e?d?? t?p??et?µ??? ???? ap?
  ?e?µa???µe???? µeta??????? ?????d????
• ??? µeta?????? p???e? e?d??µesa ?ept? p???a ap?
  p?ast??? (disposable heat exchanger) ?p??
  t?p??ete?ta? s?????s? t?? ????? fluid path

Heat transmission through conduction
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• Te?µa?t?? ????? ???µa?s?? ( Hotline )

?????te?? ??? ????? ?a? a?µat?? 1-4Lt/h
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• Te?µa?t?? ????? ???µa?s?? ( Ranger )
• ?e?a??te?? ??? ????? ?a? a?µat??
• gt5Lt/h

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• Thermal Angel
• ???? ???µa?s?
• ?????? ?????? et??µas?a?
• 2-150ml/min
• ??? ?d?a?te?e? s?????se??
• F???t?? µe µpata??a
• ?et?? t? ?e?µ???as?a t?? ????? ????
• p??? t?? e?s?d? st?? as?e??
• ??t?µat? p??sa?µ??? se a???µ??e?
• ????

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Animec
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Astofilo plus

Astotherm plus
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?a?a?t???st??? ?e?µa?t??

• X????? et??µas?a?
• ?????? ???µa?s??
• S?????se??
• ????? s?????se?? - ap??e?a ?e?µ?t?ta?
• ??s??t??e? ?e?µ???as?a? st?? e?s?d? ?a? st??
  ???d? t?? s?s?e???
• ?p?stas? t?? e??d?? ap? t?? ?e?µa?t? ap? t??
  e?s?d? st?? as?e??
• ??a??pt?? pa?s?? t?? ???? se pe??pt?s?
  ?pe????µa?s??
• ?????e?t?? a??a
• ?fa?µ??? ?e?µa???µe??? p??e?t?se??
• ?p?t???a??µe?? ???

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• ?? a??te?? ???? ?e?µ???as?a? ??a t??? ?e?µa?t??
  e??a? 42?C
• ???ß? ??tt????

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T?µ??e?te ?t?..

• ? µ? ???a??? t?p???t?s? t?? ?e?µa?t? ??e?
  s???pe?e?
• ?a? ?t?..
• ?? ?e?µa?t?? de? a?t????p??? t?? ap??e?a t??
  ?e?µ?t?ta? ?ta? ? ?e?µ???as?a t?? as?e???? e??a?
  ?d? ?aµ???

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T?µ??e?te ?t?..

• ?? as?e?e?? st?? ?e?????????? epeµß?se??
  d????e?a? gt2 ???? ?????ta? p???????e?µ??
• ? ap?te?esµat???t?ta t?? ?e?µa?t?? ?????
  e?a?t?ta? ap? t?? ta??t?ta ???? ?a? t? µ???? t??
  s?????se?? ap? t?? ???d? t?? ?e?µa?t? ??? st??
  e?s?d? st?? as?e??

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??te te???? s???st?ta? ? ???s? t?? ?e?µa?t?? ?

• Se µa???? µet????s? (gt50 t?? ????? a?µat??)
• Se t?a?µa
• Se ?p??e?µ?a p??????? a?t??????a?
• Se µet????s? se ??s? t?? ?????s???????t????

?d?a?te?? p??s??? ?e????, pa?d?at?????
p????sµ??, ??????µ???? as?e?e?? ?a? as?e?e?? µe
??s? t?? ?a?d?a??e?a??? s?st?µat??
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??????S ?G??S?S

• F??µa?a
• ????
• T?ept??? s?stat???
• ??d?f??ß?a
• ?p?d???a
• St?? ep?s?????d?? ????

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• ??p?? ????s??
• S??e???
• ??a?e?p??
• ?at?ep????s? ap? t?? as?e??
• ?aµp??? ????s?? ?????d??? ?????? ? ??????s?
  pa?e?te????? d?at??f??

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• ??p?? a?t????
• ?e????? ?????
• ?????? ?????

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• ?e????? ?????
• ??s? computer, ?????d??? p?????? t?? e?ast???
  s????a µ?s? t?? ?p???? e???eta? t? f??µa??
• ?????? ?????
• ??s? computer ??a? ?????a? p???e? t? ?µß??? t??
  s?????a?

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Disposable non electric infusion pumps

• ???s?µ?p?????ta? se
• pe??pat?t????? as?e?e?? ?a?
• st? ?at????? ??s??e?a
• G??
• ??????s? a?t?µ????ß?a??? a?????
• ??????s? ??µe???e?ape?t????
• ??????s? ?p??e?d??

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• ??ast?µet????? t?p??
• a?t??a
• 1 st?µ?? p????s??
• 2 e?ast?µet???? µpa???? µe t? pe??e??µe??
• 3 p??state?t??? pe??ß??µa

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• ??t??a ?et???? p?es??
• 1 st?µ?? p????s??
• 2 de?aµe?? fa?µ????
• 3 ????t? µ???
• 4 s????a? spiral

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• ??t??a ?e??? ? a???t????
• p?es??
• 1 st?µ?? p????s??
• 2 de?aµe?? fa?µ????
• 3 ????t? µ???
• 4 d?aµ???sµa ?e???
• 5 d?aµ???sµa atµ?sfa?????? p?es??

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Disposable infusion pumps

• ? p?es? p?? s?????? ?e?t???????250-600mmHg
• ??? 0.5-500ml/h
• X????? ??????s?? 30?ept? -12?µ??e?
• ????? t?? ?e?e?ß???? 60-500ml

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??t??a s?????a?

• Stad?a?? ??????s? µ????? ?a? e?e???µe???
  p?s?t?t?? fa?µ????
• ??????s? a?a???t????, ?p??e?d??, a?t?eµet????

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• Xa?a?t???st??? a?t????
• ?pata??a
• M??a??sµ?? p?? eµp?d??e? t?? e?e??e?? ?
  a?e???e??t? ??? t?? ????? ?ta? t?p??et???ta? ??
  ???µ?se??
• ??s??t??a? t?? ?aµ???? p?es?? (ap?f?a?? t??
  ??aµµ??)
• ??s??t??a? t?? a??te??? p?es?? (?ta? ? s????? ? ?
  s?????a e??a? ?de?a)
• ??s??t??a? a????e?s?? a???? e?t?? t?? ??aµµ??
• Alarms

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Eµf?te?s?µe? a?t??e?

• ?a???e? µa???? d????e?a? s??e?? ? d?a?e?p??sa
  ????s? fa?µ????
• ??d?f??ß?a, e?da?t???a??, ?p?d???a, e?d???a??a?a,
  st?? ep?s?????d?? ???? ?a? e?d??????a?? ?
  e?d?pe??t??a???
• ??p??ete?ta? ?e????????? (pocket) ??t? ap? t??
  ??e?da ? st? ?????a?? t????µa

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• S???e???µ??e? e?de??e??
• ?. ??µe???e?ape?a
• p??t?pa??? Ca ?pat?? ?pat??? a?t???a
  
  
  µetastat??? Ca ?????
• Ca ?efa???-t?a????? e?d?a?t???a??
• ?. ??????? p????
• e?d?f??ß?a ? st?? ep?s?????d?? ???? ?
  e?d???a??a?a
• ????p???se?? ??a t?? t?p???t?s? µ?a?
  t?t??a? a?t??a?
• G. ??t?µet?p?s? spast???t?ta?

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