Methods and devices for non-invasive cerebral and systemic cooling
A method for cerebral and systemic cooling by providing a nebulized liquid having a boiling point of 38-300° C. The nebulized liquid is delivered as a mist or a spray via the nasal and/or oral cavities of a patient. The mist causes cooling by direct heat transfer through the nasopharynx and hematogenous cooling through the carotids and the Circle of Willis. Compositions and medical devices for cerebral and systemic cooling are also provided. Cooling assemblies, and methods of use, are also provided that include flexible balloon assemblies that are inserted to various locations in a patient's body. The flexible balloons are then infused with a liquid having a temperature between about −20° C. and about 37° C. The flexible balloon assemblies can be inserted into the nasal cavity, oral cavity, throat, stomach, and other locations to effect cerebral cooling.
1. A method for cerebral cooling, comprising the steps of:
inserting a cooling assembly into an oral cavity of a patient through the patient's mouth, wherein the cooling assembly comprises:
an elongate tubular member having a proximal end, a distal end, first, second, and third lumens extending therebetween, openings in the distal and proximal ends in fluid communication with the first lumen, and at least one port located near the distal end in fluid communication with the second lumen;
an expandable member mounted circumferentially about the distal end of the elongate tubular member, the expandable member in fluid communication with the third lumen;
advancing said cooling assembly in said patient's oral cavity such that the expandable member is located over the larynx and the at least one port is located in the patient's oral cavity;
inflating the expandable member to form a seal over the larynx; and
delivering a perfluorocarbon to the patient's oral cavity through the at least one port located in the patient's oral cavity.
2. The method of claim 1 , wherein the elongate tubular member further comprises a second expandable member mounted on the proximal end.
3. The method of claim 1 , wherein the elongate tubular member further comprise a fourth lumen in fluid communication with a second port on the elongate tubular member.
4. The method of claim 1 , wherein delivering the perfluorocarbon comprises delivering a perfluorocarbon spray and a gas through the at least one port in located in the patient's oral cavity.
5. The method of claim 4 , wherein the gas is oxygen.
6. The method of claim 1 , wherein the perfluorocarbon has a boiling point above 37° C.
7. The method of claim 1 , wherein the perfluorocarbon has a boiling point between about 0° C. and about 160° C.
8. The method of claim 1 , wherein the perfluorocarbon has a boiling point between about 25° C. and about 140° C.
9. The method of claim 1 , wherein the perfluorocarbon is perfluorohexane.
10. The method of claim 1 , wherein the perfluorocarbon 2-methy perfluoropentane.
11. The method of claim 4 , wherein the perfiuorocarbon spray is delivered at a temperature between about −5° C. and about 25° C.