THE THREE LEVELS OF WHOLE-BODY HYPERTHERMIA (WBH)

 
Mild WBH
Moderate / Fever-Range WBH
Extreme WBH
Target Temperature
body-core,
T(rectal)
< 38,5 °C *)
38,5 – 40,5 °C *)
> 40,5 °C *)
 
Duration of Application
in the given Temp. Region
≤ 30 min
> 30 min
 ≤ 180 min
> 180 min
usually
≥ 60 min
Load of Patient
sweating,

no
thermoregulatory
stress

sweating,

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no
thermoregulatory
stress

thermoregulatory
stress,

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unsedeted / lightly sedeted

thermoregulatory
stress,

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lightly / strongly sedeted

 
thermoregulatory
stress, deep intravenous anaesthesia
or
general anaesthesia
Supervision of Patient
care by nurse

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T(axill)
or T(rectal)
or T(sublingual)
or T(tympanal)

care by nurse
with medical supervision
**)

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contineously 
T(rectal) +),

± T(axill/tymp)
+ HF/SpO2
± ECG
sporadic 
± NIBP
(“
±” means optional)
care by nurse
with medical supervision

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contineously 
T(rectal) +),
+ T(axill/tymp)
+ HF/SpO2
+ ECG/RESP
sporadic 
+ NIBP
medically
guided treatment

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intensive monitoring

Range of Indications
(selection)
relaxation,
wellness
rehabilitation,
physiotherapy, rheumatology
orthopaedics
rheumatol.,
dermatol., 
oncology, psychiatry, immunology, environmental medicine

 

oncology, chronical infection
oncology, chronical infection
 
*) The boundaries of temperature between the levels of WBH have only the character of a rough orientation, because they are subject to individual variations
**) in Germany also under supervision of a non-medical practitioner
+) If rectal temperature measurement is not possible the body-core temperature can be measured also vesically or vaginally
heckel-medizintechnik and Von Ardenne Institut für Angewandte Medizinische Forschung 01/2018