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Cryopreservation
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== Post Arrest == === Stabilization === Cooling is performed by placing water ice around the head and on the areas of the body where high-throughput veins and arteries exist close to the surface (The axilla, neck and groin). The damage equivalent of five minutes of room-temperature ischemia, at the temperature of ice, takes 180 minutes to occur. ==== Transport ==== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. === Perfusion === ==== Vitrification ==== In essence, vitrification is the depression of the freezing point of water until it is below the Glass Transition Point (T<sub>g</sub>), at which water and the tissues around it become a glass, and ice formation cannot occur. ==== Cryoprotectants ==== A cryoprotectant is any substance that protects biological tissue from freezing damage (Ice formation). Cryoprotectants such as polyols, sugars and glycols are naturally produced by some forms of life inside the arctic and antarctic circles to protect themselves from the winter. Some arctic salamanders produce [[#Glycerol|glycerol]] in their livers as a cryoprotectant. Cryoprotectants can be divided into two categories: Conventional and solutions. Conventional cryoprotectants are glycols, such as [[#Ethylene glycol|Ethylene glycol]], [[#Glycerol|glycerol]]; and [[#DMSO|dimethyl sulfoxide]]. Solutions are mixtures of conventional cryoprotectants and/or other chemicals, and are designed to reduce toxicity to biological tissue and increase effectiveness. ===== M-22 ===== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. ===== CI-VM-1 ===== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. * [http://cryonics.org/research/CI-VM-1.html More information] ===== Ethylene Glycol ===== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. ===== Glycerol ===== Source: [[Mike Darwin]]. ''History of DMSO and Glycerol in Cryonics''. ''Cryonics'', Third Quarter 2007. The use of glycerol as a cryoprotectant for cryonics [[#Patients|patients]] was first proposed in the founding book of cryonics, [[#Books|The Prospect of Immortality]], given that it was the most used cryoprotectant agent at the time (1962-1964) and good preservation of sperm and tissue using glycerol had been demonstrated. ===== DMSO ===== DMSO was introduced in the mid-to-late sixties due both to its skin-penetrating, anti-inflammatory properties and the charisma of Stanley W. Jacob, the "father of Dimethyl Sulfoxide". ===== Propylene Glycol ===== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. ===== Tissue Comparison ===== Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. ==== Burr Hole ==== === Cooling === In cryonics, several forms of cooling have been used: # '''Dry Ice:''' The patient is surrounded by dry ice until reaching a temperature of -78.5 ºC. # '''Spraying of Liquid Nitrogen Vapor:''' The method used by CI consists of placing the patient inside a cooling box on a supine position. Liquid Nitrogen vapor is sprayed from an overhead tube and is distributed by a fan. # '''Isopropyl Alcohol:''' The patient is immersed in a bath of alcohol. # '''Immersion:''' The patient, either a [[#Whole Body|Whole Body]] or a [[#Neuro|Neuro]] is slowly immersed in Liquid Nitrogen, with the vapor providing interim cooling. In the case of neuropatients, the Neurocan was placed in a cryogenic dewar which was immersed in the Liquid Nitrogen. (Note that in cooling the patient is already placed in a sleeping bag or another form in insulation.) === Long Term Storage === [[#Whole Body|Whole body]] [[#Patients|patients]] are stored head-down so that in the event of a leak, the head remains immersed, preventing thawing for some time while the problem is solved. More over, boil off of the Liquid Nitrogen happens continuously and the liquid is only replaced occasionally; because of this, parts of the patient could become exposed to Nitrogen vapor until it the dewar is replenished. This temperature changes can cause additional damage and fracturing from thermal stress. In the [[#1964 - 1972|early years]], [[#Patients|patients]] were stored in horizontal dewars and later vertically but head-up. Head-down storage was proposed, but relatives of patients at the time said it would be disrespectful to store them on their heads. Proposals of large, multi-thousand-patient storage facilities have been found in Cryonics literature since its inception. An early example is the article written by [[Pauline Mandell]] in Coronet about her son's cryopreservation (See [[#Steven Jay Mandell|Patients]]), in which she mentioned proposals for the construction of large 'cryo-sanctorums' several stories tall to house thousands of patients. While a large facility would have the definite advantage of having boil-off times measured in months or years; a simple leak may prove impossible to repair without transferring the patients to other locations with the same storage capabilities. This would involve significant risk in thawing and a potentially exorbitant cost. ==== HSSV Cryostat ==== ==== Upright MVE ==== ==== Small MVE ==== ==== Neurovault ==== The neurovault or 'cephalarium' used by Alcor was the world's first radiation, fire, earthquake and blast-resistant store of cryopatients. Currently the Cephalarium lies abandoned behind the Scottsdale facility, while Alcor's [[#Alcor Patient Care Bay|Patient Care Bay]] is only secured on the wall that can be viewed by visitors. ==== Galiso dewar ==== ==== Bigfoot ==== ==== King Kong ==== The King Kong Kapsule, built by TT engineer John Day, was the largest hard-vacuum dewar ever built, and was designed to hold eleven (Whole body) patients, even though its inside diameter was only 64 inches<ref>http://www.cs.cmu.edu/afs/cs/user/tsf/Public-Mail/cryonics/archive/333</ref>. The King Kong was put into service in 1990, when TT had enough patients to justify it. The dewar held eight patients, and never performed to specifications <ref>http://www.cryonet.org/cgi-bin/dsp.cgi?msg=5404</ref> <ref>http://www.cryonet.org/cgi-bin/dsp.cgi?msg=320</ref>. The Kong's performance was described as "subpar" <ref>John Day, TT's chief of engineering in the October, 1981 issue of Cryonics magazine. "Economics of surrounding a vacuum insulated dewar with additional foam insulation" CRYONICS pp. 13-18</ref> by Trans Time's engineer John Day, as its Liquid Nitrogen boiloff rate was 73 liters per day (1.5% of its capacity boiled off every day). When the Kapsule had 8 patients, this rate works out to a little over 9 liters of Liquid Nitrogen, every day, for every patient: A cost 300% greater than Alcor's<ref>http://www.cs.cmu.edu/afs/cs/user/tsf/Public-Mail/cryonics/archive/333</ref>. Because of allthese failures, they never payed more than half the contract price. The King Kong was finally replaced with a modification of Alcor's design for a four patient dewar, which they called the Son of Kong and had 30% of the boiloff rate of the King Kong. ==== Forever Flask ==== The 'Forever Flask' was the first dewar built by Minnesota Valley Engineering for the storage of cryopatients. It was made by welding together two standard A-8000 MVE dewars (Used for storage of biological specimens: Tissue cultures, bull semen of the Minnesota Valley Breeders Association), which had 25'' neck tube opening; wide enough, but not tall enough, for the storage of two human patients, but not tall enough. It was built in 1969, using $5,000 of the $11,000 dollars given to CSNY by Nick DeBlasio; and held his late wife and a yet-to-be-identified Beverly Hills woman that [[Robert Nelson]] had frozen. ==== Intermediate Temperature Storage ====
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