Hemodialysis as a Treatment of Severe Accidental Hypothermia

被引:13
作者
Caluwe, Rogier [1 ]
Vanholder, Raymond [1 ]
Dhondt, Annemieke [1 ]
机构
[1] Ghent Univ Hosp, Div Renal, Dept Internal Med, B-9000 Ghent, Belgium
关键词
Accidental hypothermia; Active core rewarming; Hemodialysis;
D O I
10.1111/j.1525-1594.2009.00837.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
We describe a case of severe accidental hypothermia (core body temperature 23.2 degrees C) successfully treated with hemodialysis in a diabetic patient with preexisting renal insufficiency. Consensus exists about cardiopulmonary bypass as the treatment of choice in cases of severe accidental hypothermia with cardiac arrest. Prospective randomized controlled trials comparing the different rewarming modalities for hemodynamically stable patients with hypothermia, however, are lacking. In our opinion, the choice of a rewarming technique should be patient tailored, knowing that hemodialysis is an efficient, minimally invasive, and readily available technique with the advantage of providing electrolyte support.
引用
收藏
页码:237 / 238
页数:2
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