Accidental Hypothermia Treated by Extracorporeal Blood-Warming

Davies, D.M.; Millar, E.; Miller, Isidore

doi:10.1016/s0140-6736(67)91546-2

Cited by 73 publications

(12 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vasoconstrictors are often used if the systolic blood pressure falls below 100 mmHg. Noradrenaline, mephentermine and metaraminol *Davies, Millar & Miller (1967) have successfully applied extracorporeal blood-warming to one patient, and suggest that this method needs further trial. have been used with variable claims to success (Hyam, 1963;Rosin & Exton-Smith, 1964;McNicol & Smith, 1964), and it is difficult to withhold pressor amines in these circumstances.…”

Section: Diagnosismentioning

confidence: 99%

Accidental hypothermia

Mathews

1967

Postgraduate Medical Journal

View full text Add to dashboard Cite

Section: Diagnosismentioning

confidence: 99%

Accidental hypothermia

Mathews

1967

Postgraduate Medical Journal

View full text Add to dashboard Cite

“…As deep hypothermic circulatory arrest became commonly employed in cardiac surgery for complex reconstructive surgery the concept of extracorporeal rewarming for hypothermic arrest was born. The first successful cases were reported in 1967 [1,2].…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal-Assisted Rewarming in the Management of Accidental Deep Hypothermic Cardiac Arrest

Dunne

Christou

Duff

et al. 2014

Heart, Lung and Circulation

View full text Add to dashboard Cite

“…The first descriptions of rewarming of accidental hypothermia with extracorporeal blood warming were reported in 1967 (Davies et al, 1967;Kugelberg et al, 1967). Other methods for rewarming have been reported, such as pleural lavage (Kjaergard and Bach, 2006), peritoneal dialysis ( Jessen and Hagelsten, 1978), and intermittent hemodialysis (Sultan et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

17 Degrees Celsius Body Temperature—Resuscitation Successful?

Hungerer

Ebenhoch²,

Bühren³

2010

High Altitude Medicine & Biology

View full text Add to dashboard Cite

The resuscitation of patients with accidental profound hypothermia is challenging. A 17-year-old man got lost on the first of January, after a New Year's Eve party in the foothills of the Alps. After a search of four hours, he was found unconscious with fixed pupils, a Glasgow Coma Scale of three points, and a body temperature below 20° Celsius. There were no signs for traumatic injuries. Initial electrocardiogram (ECG) showed no heart activity. Basic life support was begun by the mountain rescue service and continued by the medical helicopter team. The patient was transferred under continuous cardiac massage, airway management with intubation and intravenous line via external jugular vein by helicopter to the nearest hospital for analysis of serum potassium. Body temperature was 17°C measured by urinary bladder electronic thermometer. The serum potassium was 7.55 mmol/L, therefore the patient was transferred by helicopter to the next cardiovascular center for rewarming with extracorporal circulation (ECC). Under the rewarming process with ECC, the heart activity restarted at 25°C with external defibrillation. The patient was rewarmed to 37.2°C after four hours of ECC. Cerebral CT scans after 24 h and 48 h revealed no significant hypoxia and after extubation the early rehabilitation process started. After six weeks, the patient regained the ability to walk and started to communicate on a basic level. After 54 days the patient presented signs of septic shock. After initial stabilization and CT diagnostic, a laparotomy was performed. The intraoperative finding was a total necrosis of the small bowel and colon. The patient died on the same day. Post mortem examination showed a necrotizing enterocolitis with transmural necrosis of the bowel. Survivors of uncontrolled profound hypothermia below 20°C core temperature are rare. The epicrisis is often prolonged by complications of different causes. The present case reports a necrotizing enterocolitis with a non-occlusive mesenteric ischemia (NOMI) as a medium-term complication of profound hypothermia.

show abstract

Accidental Hypothermia Treated by Extracorporeal Blood-Warming

Cited by 73 publications

References 21 publications

Accidental hypothermia

Accidental hypothermia

Extracorporeal-Assisted Rewarming in the Management of Accidental Deep Hypothermic Cardiac Arrest

17 Degrees Celsius Body Temperature—Resuscitation Successful?

Contact Info

Product

Resources

About