The use of minimal invasive extracorporeal circulation for rewarming after accidental hypothermia and circulatory arrest

Friess, Jan Oliver; Gisler, Fabian; Kadner, Alexander; Jenni, Hansjörg; Eberle, Balthasar; Erdoes, Gabor

doi:10.1111/aas.13790

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…Extracorporeal cardiopulmonary resuscitation (ECPR) [ 139 ] followed by ECLS rewarming may be associated with higher survival and more favourable neurological outcomes than conventional CPR alone in patients with accidental hypothermia without vital signs [ 121 , 126 ]. Rapid technological progress including the miniaturisation and improved efficacy, safety, and transportability of ECLS devices are expanding the possibilities of ECPR and ECLS rewarming [ 122 , 140 ].…”

Section: Treatmentmentioning

confidence: 99%

Accidental Hypothermia: 2021 Update

Paal

Pasquier

Darocha

et al. 2022

IJERPH

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Accidental hypothermia is an unintentional drop of core temperature below 35 °C. Annually, thousands die of primary hypothermia and an unknown number die of secondary hypothermia worldwide. Hypothermia can be expected in emergency patients in the prehospital phase. Injured and intoxicated patients cool quickly even in subtropical regions. Preventive measures are important to avoid hypothermia or cooling in ill or injured patients. Diagnosis and assessment of the risk of cardiac arrest are based on clinical signs and core temperature measurement when available. Hypothermic patients with risk factors for imminent cardiac arrest (temperature < 30 °C in young and healthy patients and <32 °C in elderly persons, or patients with multiple comorbidities), ventricular dysrhythmias, or systolic blood pressure < 90 mmHg) and hypothermic patients who are already in cardiac arrest, should be transferred directly to an extracorporeal life support (ECLS) centre. If a hypothermic patient arrests, continuous cardiopulmonary resuscitation (CPR) should be performed. In hypothermic patients, the chances of survival and good neurological outcome are higher than for normothermic patients for witnessed, unwitnessed and asystolic cardiac arrest. Mechanical CPR devices should be used for prolonged rescue, if available. In severely hypothermic patients in cardiac arrest, if continuous or mechanical CPR is not possible, intermittent CPR should be used. Rewarming can be accomplished by passive and active techniques. Most often, passive and active external techniques are used. Only in patients with refractory hypothermia or cardiac arrest are internal rewarming techniques required. ECLS rewarming should be performed with extracorporeal membrane oxygenation (ECMO). A post-resuscitation care bundle should complement treatment.

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Section: Treatmentmentioning

confidence: 99%

Accidental Hypothermia: 2021 Update

Paal

Pasquier

Darocha

et al. 2022

IJERPH

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“…Active external rewarming, specifically forced-air surface rewarming (0.5–4 °C/h), provides controlled core temperature elevation [ 33 , 34 ]. Extra-corporeal life support (ECLS; VA-ECMO; CPB, including minimally invasive extracorporeal circulation (MiECC)), with a rewarming rate of ∼4–10 °C/h, is the preferred method for cardiac arrest patients, with ECMO being favored over CPB [ [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] ].…”

Section: Resultsmentioning

confidence: 99%

Computational insights into survival durations and prehospital interventions in accidental cold-water immersion: A comprehensive analysis of fresh and saltwater temperatures

Junaid,

Mahmud-Or-Rashid

2024

Heliyon

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“…In addition, nearly half of ECPR protocols used specific etiologies for the cardiac arrest as inclusion criteria [9 & ]. In addition to acute coronary syndrome, etiologies considered for ECPR include hypothermia, pulmonary embolism, aortic dissection, peripartum cardiomyopathy, amniotic fluid embolism, and drug overdose [14][15][16][17][18][19][20][21][22][23][24].…”

Section: Key Pointsmentioning

confidence: 99%

Extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest - who, when, and where?

Gottula¹,

Neumar²,

Hsu

2022

Current Opinion in Critical Care

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Purpose of reviewExtracorporeal cardiopulmonary resuscitation (ECPR) is an invasive and resource-intensive therapy used to care for patients with refractory cardiac arrest. In this review, we highlight considerations for the establishment of an ECPR system of care for patients suffering refractory out-of-hospital cardiac arrest (OHCA). Recent findingsECPR has been shown to improve neurologically favorable outcomes in patients with refractory cardiac arrest in numerous studies, including a single randomized control trial. Successful ECPR programs are typically part of a comprehensive system of care that optimizes all phases of OHCA management. Given the resource-intensive and time-sensitive nature of ECPR, patient selection criteria, timing of ECPR, and location must be well defined. Many knowledge gaps remain within ECPR systems of care, postcardiac arrest management, and neuroprognostication strategies for ECPR patients.

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The use of minimal invasive extracorporeal circulation for rewarming after accidental hypothermia and circulatory arrest

Cited by 3 publications

References 29 publications

Accidental Hypothermia: 2021 Update

Accidental Hypothermia: 2021 Update

Computational insights into survival durations and prehospital interventions in accidental cold-water immersion: A comprehensive analysis of fresh and saltwater temperatures

Extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest - who, when, and where?

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