Rewarming After Severe Accidental Hypothermia
نویسندگان
چکیده
Although accidental hypothermia is considered a totally preventable cause of death, severe hypothermia (<28 o C) carries a mortality rate about 21%. That’s why conventional rewarming techniques such as using a warming blanket, warm intravenous saline, nasogastric lavage, continuous bladder irrigation and thoracic lavage via chest tubes are often considered inefficient and extracorporeal circulation is the therapy of choice. We report a case of severe hypothermia (24.1 o C) successfully resuscitated without using extracorporeal circulation observed in an urban hospital in Northern Greece.
منابع مشابه
Rewarming for accidental hypothermia in an urban medical center using extracorporeal membrane oxygenation
BACKGROUND Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most efficient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicat...
متن کاملAccidental deep hypothermia with cardiac arrest. Prompt complete recovery after rewarming by extracorporeal circulation. Case report.
BACKGROUND Deep accidental hypothermia (core temperature <28 degrees C) is an uncommon medical emergency requiring rapid active core rewarming. Extracorporeal circulation has become the treatment of choice for deep hypothermic patients with cardiac arrest. CASE REPORT We report on a 30-year-old patient who suffered from deep accidental hypothermia (core temperature 24.8 degrees C) and cardiac...
متن کاملInduced and accidental hypothermia.
OBJECTIVE To review human thermoregulation and the pathophysiology and management of induced and accidental hypothermia. DATA SOURCES A review of studies reported over ten years from 1990 to 2000 and identified through a MEDLINE search of the English-language literature on thermoregulation and induced and accidental hypothermia. SUMMARY OF REVIEW Hypothermia is defined as a core temperature...
متن کاملRewarming a patient with accidental hypothermia and cardiac arrest using thoracic lavage.
The optimal treatment for severe accidental hypothermia is cardiopulmonary bypass because this offers the most rapid rate of rewarming. However, cardiopulmonary bypass therapy is not available in every hospital. In these circumstances, rewarming has to be achieved with other methods. We present a patient who was successfully rewarmed with thoracic lavage after he had been found with a core temp...
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The use of extracorporeal membrane oxygenation is a new approach to rewarming patients with severe hypothermia and hemodynamic instability. There are, however, many questions regarding qualification for this technique in case of suspected or confirmed trauma.A male with confirmed accidental hypothermia (25°C) and after successful cardiopulmonary resuscitation from in-hospital cardiac arrest was...
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