Method and system to detect changes in a patient's endogenous temperature set-point during externally induced targeted temperature management
Systems, methods and devices for utilizing heat transfer parameters or energy expenditure of devices providing controlled hypothermia, normothermia or hyperthermia to detect changes, or the absence of changes, a patient's endogenous set-point temperature; which is not available during exogenously induced targeted temperature management. A particular embodiment would allow detection of fever in patients undergoing targeted temperature managed.
1. A system for controlling a patient's body temperature and determining any change in a patient's endogenous body temperature regulating function, the system comprising:
one or more processing devices; and
a memory storing instructions that, when executed by the one or more processing devices, cause the one or more processing devices to perform operations including:
controlling a heat exchange device to maintain a body temperature of a patient at a predetermined target temperature or within a predetermined target temperature range;
determining a status of one or more components of the heat exchange device, the status representing an operation of the heat exchange device for maintaining the body temperature of the patient; and
determining, based on the status, whether there is a change in an endogenous body temperature regulating function of the patient, wherein the endogenous body temperature regulating function is prevented from regulating the body temperature of the patient because the body temperature of the patient is being maintained at the target temperature by the heat exchange device.
2. The system of claim 1 , wherein the status represents one or more measurements of the one or more components of the heat exchange device, the one or more measurements including a temperature, or a change in temperature, of either a delivered or returning heat transfer fluid, or a heat transfer fluid required to maintain the predetermined target temperature or the predetermined target temperature range of the patient.
3. The system of claim 1 , wherein the status represents an energy expenditure, or change in the energy expenditure, required to maintain the predetermined target temperature or the predetermined target temperature range.
4. The system of claim 1 , wherein the status represents a measurement of a volume of a heat transfer fluid, or change in the volume of the heat transfer fluid, required to maintain the predetermined target temperature or the predetermined target temperature range.
5. The system of claim 1 , wherein determining, based on the status, comprises deriving a function of measurements of the one or more components of the heat exchange device, the function being based on at least two measurements comprising:
a sensed patient temperature, an energy expenditure required to maintain the predetermined target temperature, the predetermined target temperature range, a temperature of a heat transfer fluid sent to the patient, a volume of the heat transfer fluid sent to the patient, a temperature of returning heat transfer fluid from the patient, a volume of the returning heat transfer fluid from the patient, an environment temperature, and a weight of the patient.
6. The system of claim 5 , wherein the at least two measurements indicate changes or absence of changes to measured values.
7. The system of claim 1 , further comprising:
generating, based on the status representing the operation of the heat exchange device for maintaining the body temperature of the patient, a visual representation of a biomarker for a change, or an absence of the change, in the endogenous body temperature regulating function of the patient.
8. The system according to claim 7 , further comprising:
representing the visual representation a function of time, a degree of change from a baseline value, or a combination thereof.