Rewarming a patient with accidental hypothermia and cardiac arrest using thoracic lavage.
نویسندگان
چکیده
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 temperature of 21°C and asystole.
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 کاملRewarming After Severe Accidental Hypothermia
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 circula...
متن کاملExtracorporeal Rewarming From Accidental Hypothermia of Patient With Suspected Trauma
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...
متن کاملSuccessful treatment of severe accidental hypothermia with cardiac arrest for a long time using cardiopulmonary bypass - report of a case
Accidental hypothermia is defined as an unintentional decrease in body temperature to below 35°C, and cases in which temperatures drop below 28°C are considered severe and have a high mortality rate. This study presents the case of a 57-year-old man discovered drifting at sea who was admitted to our hospital suffering from cardiac arrest. Upon admittance, an electrocardiogram indicated asystole...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Annals of thoracic surgery
دوره 97 6 شماره
صفحات -
تاریخ انتشار 2014