Rewarming from accidental hypothermia is often complicated by hypothermia-induced cardiac dysfunction, calling for immediate pharmacologic intervention. Studies show that although cardiac pharmacologic support is applied when rewarming these patients, a lack of updated treatment recommendations exist. Mainly due to lack of clinical and experimental data, neither of the international guidelines ...

" If the Lord Almighty had consulted me before embarking on creation, I should have recommended something simpler " Alphonso the Wise (1221-1289) This work is dedicated to the memory of my parents, who provided a warm home for me and my brothers and sisters. Abstract 4 ABSTRACT Background: (Papers I and II) The objectives were to first determine incidence and contributing factors to cold-relate...

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...

Potential sources of gaseous microemboli during cardiopulmonary bypass are varied. However, it is known that membrane oxygenators generate fewer gaseous microemboli than bubble oxygenators and that bubblers cannot utilize arterial heat exchange without generating significant gaseous microemboli during rewarming. A membrane oxygenator utilizing simultaneous gas and heat exchange raises the con...

The cerebral circulation was studied on 40 clinical cases which underwent open heart surgery under extracorporeal circulation by the low flow rate-hypothermic-hemodilution technique, by means of Kr85, opthalmoscope, blood gas and pH, and cerebral metabolism. Cerebral blood flow decreased to 65.2 per cent of the control value after the start of extracorporeal bypass, but recovered by the later p...

OBJECTIVE To compare the efficacy of forced-air warmers and radiant heaters on rewarming after cardiac surgery in a prospective randomized study. METHODS Fifty male patients who had undergone coronary artery bypass graft surgery were studied. The control group (Gr. C, n=10) was nursed under a standard hospital blanket. Two groups were treated with forced-air warmers: WarmTouch 5700 (Gr. WT, n...

Small insectivorous tree-roosting bats are among the most taxonomically diverse group of mammals in Australia's desert, yet little is known about their thermal physiology, torpor patterns and roosting ecology, especially during summer. We used temperature-telemetry to quantify and compare thermal biology and roost selection by broad-nosed bats Scotorepens greyii (6.3 g; n = 11) and Scotorepens ...

This report describes the case of an 88-year-old non-diabetic female who presented to the emergency department following a presumed hypoglycaemic collapse due to self-neglect. Subsequent rewarming and resuscitation demonstrated a number of the significant consequences of severe hypothermia, including apparent secondary impairment of glycaemic autoregulation. The phenomenon of reversible inhibit...

Accidental hypothermia is an uncommon problem that affects people of all ages, but particularly the elderly. This review briefly outlines the aetiological factors that may predispose to hypothermia, with particular reference to the effects of sepsis, although the specific situation of cold-water immersion is not addressed. A more detailed analysis of the pathophysiology of hypothermia then exam...

The May 1986 Mt. Hood climbing disaster presented Portland area hospitals the opportunity to initiate a trial of extracorporeal rewarming using cardiopulmonary bypass in ten severely hypothermic patients (two survivors). The data from this experience as well as others previously reported can yield prognostic indicators of survival in cases of accidental hypothermia. These are demonstrated to in...