Early Use of Hemodialysis for Active Rewarming in Severe Hypothermia: A Case Report and Review of Literature

Rahman, Sayed; Rubinstein, Sofia; Singh, Jatinder; Samih, Mohammad; Balsam, Leah

doi:10.3109/0886022x.2012.673466

Cited by 7 publications

(3 citation statements)

References 18 publications

(31 reference statements)

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“…Ruttmann et al also suggested that ECMO improves the survival in severe hypothermic patients with cardiocirculatory arrest (14). However, as several case reports have mentioned, HD is a therapeutically effective and safe internal rewarming method for moderate and severe hypothermia in the absence of cardiac arrest (18,19). The advantages of HD for the treatment of hypothermia are low invasiveness, easy adjustment of the rewarming rate, and availability even in cases with a normal renal function.…”

Section: Discussionmentioning

confidence: 99%

Accidental Hypothermia Treated by Hemodialysis in the Acute Phase: Three Case Reports and a Review of the Literature

et al. 2019

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Accidental hypothermia is defined as a core body temperature <35℃. Even with the use of multiple active rewarming methods, it has a high mortality rate. No standard treatment strategy for moderate or severe hypothermia in the absence of cardiac arrest has yet been established. We herein report three patients with severe or moderate accidental hypothermia who were treated by hemodialysis in the acute phase. This case report with a literature review describes the usefulness of hemodialysis for the treatment of moderate and severe accidental hypothermia without cardiac arrest.

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Section: Discussionmentioning

confidence: 99%

Accidental Hypothermia Treated by Hemodialysis in the Acute Phase: Three Case Reports and a Review of the Literature

et al. 2019

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“…Les dernières publications [2,11] rapportent la circulation extracorporelle (CEC) comme technique de choix pour le réchauffement et la réanimation des arrêts cardiaques hypothermiques jouant dans le même temps le rôle d'assistance circulatoire. La CEC permet d'obtenir une vitesse de réchauffement de 5°C/h comme les dispositifs d'hémodia-lyse ou d'hémofiltration proposés par certains auteurs [12].…”

Section: Discussionunclassified

Réchauffement d’une hypothermie sévère grâce à un dispositif intravasculaire habituellement utilisé dans le refroidissement post-arrêt cardiaque

Pauchard

Gauche

2014

Réanimation

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Le réchauffement des patients souffrant d'hypothermie circonstancielle profonde peut être obtenu par plusieurs méthodes, dont aucune n'a de rapport efficacité/invasivité/disponibilité optimal. Nous rapportons le cas clinique d'une patiente de 94 ans admise en réanimation pour hypothermie sévère à 26°C dont l'évolution sera favorable en quelques heures grâce à une technique de réchauffement invasive, continue et automatisée, utilisant un dispositif intravasculaire nommé CoolGard 3000 ® , utilisée habituellement dans le refroidissement post-arrêt cardiaque.Mots clés Hypothermie accidentelle · Technique de réchauffement · Dispositif intravasculaire CoolGard 3000 ® Abstract Rewarming severely hypothermic patients is a major challenge. No optimal technique providing efficiency and availability, using minimally invasive methods exists. We report one 94 year-old woman admitted to the intensive care unit for severe hypothermia at 26°C/78.8°F. Outcome was favorable within a few hours using an invasive, intravascular, continuous and automated rewarming technique commonly used for cooling cardiac arrest patients.

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“…Hypotension. Haemodialysis [ 242 , 262 – 266 ] Adds ~2–3 °C hr -1 Not commonly used, patient must be able to increase cardiac output to perfuse the external circuit. Heparinisation required.…”

Section: Accidental Hypothermia: An Update- Part 2 In-hospital Managementioning

confidence: 99%

Accidental hypothermia–an update

Paal

Gordon

Strapazzon

et al. 2016

Scand J Trauma Resusc Emerg Med

228

160

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BackgroundThis paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest.MethodsThe authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review.ResultsThe hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients. Extracorporeal life support (ECLS) has revolutionised the management of hypothermic cardiac arrest, with survival rates approaching 100 % in some cases. Hypothermic patients with risk factors for imminent cardiac arrest (temperature <28 °C, ventricular arrhythmia, systolic blood pressure <90 mmHg), and those who have already arrested, should be transferred directly to an ECLS-centre. Cardiac arrest patients should receive continuous cardiopulmonary resuscitation (CPR) during transfer. If prolonged transport is required or terrain is difficult, mechanical CPR can be helpful. Delayed or intermittent CPR may be appropriate in hypothermic arrest when continuous CPR is impossible. Modern post-resuscitation care should be implemented following hypothermic arrest. Structured protocols should be in place to optimise pre-hospital triage, transport and treatment as well as in-hospital management, including detailed criteria and protocols for the use of ECLS and post-resuscitation care.ConclusionsBased on new evidence, additional clinical experience and clearer management guidelines and documentation, the treatment of accidental hypothermia has been refined. ECLS has substantially improved survival and is the treatment of choice in the patient with unstable circulation or cardiac arrest.

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Early Use of Hemodialysis for Active Rewarming in Severe Hypothermia: A Case Report and Review of Literature

Cited by 7 publications

References 18 publications

Accidental Hypothermia Treated by Hemodialysis in the Acute Phase: Three Case Reports and a Review of the Literature

Accidental Hypothermia Treated by Hemodialysis in the Acute Phase: Three Case Reports and a Review of the Literature

Réchauffement d’une hypothermie sévère grâce à un dispositif intravasculaire habituellement utilisé dans le refroidissement post-arrêt cardiaque

Accidental hypothermia–an update

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