Important aspects in the treatment of severe accidental hypothermia: The Innsbruck experience

被引:39
作者
Kornberger, E [1 ]
Mair, P [1 ]
机构
[1] UNIV INNSBRUCK, DEPT ANESTHESIA & INTENS CARE MED, A-6020 INNSBRUCK, AUSTRIA
关键词
hypothermia; extracorporeal circulation; peritoneal dialysis; airway rewarming; outcome;
D O I
10.1097/00008506-199601000-00027
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The purpose of this paper is to review important aspects in the treatment of accidental hypothermia, based on our own experience in rewarming 55 patients with severe accidental hypothermia and a core temperature <30 degrees C. We used three different methods of rewarming, adjusted to the patients' hemodynamics: airway rewarming, warmed fluids and insulation in patients with stable hemodynamics (group 1, n = 24), peritoneal dialysis in patients with unstable hemodynamics (group 2, n = 7) and extracorporeal circulation in patients with cardiocirculatory arrest (group 3, n = 24). Survival rates were 100% (group 1), 72% (group 2) and 13% (group 3) retrospectively. Published data supporting our strategy and alternative approaches are reviewed. The method used to rewarm a patient with severe accidental hypothermia should be adjusted to the hemodynamic status. The prognosis is excellent in patients in whom no hypoxic event precedes hypothermia and no serious underlying disease exists.
引用
收藏
页码:83 / 87
页数:5
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