Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support

被引:2
|
作者
Grapatsas, Konstantinos [1 ,2 ]
Leivaditis, Vasileios [1 ]
Panagiotopoulos, Ioannis [3 ]
Spiliotopoulos, Konstantinos [4 ]
Koletsis, Efstratios [5 ]
Dahm, Manfred [1 ]
Kosmidis, Christoforos [6 ]
Laskou, Stella [6 ]
Zarogoulidis, Paul [7 ]
Katsaounis, Athanasios [6 ]
Pavlidis, Efstathios [6 ]
Giannakidis, Dimitrios [6 ]
Koulouris, Charilaos [6 ]
Mantalovas, Stylianos [6 ]
Konstantinou, Fotis [8 ]
Amaniti, Aikaterini [9 ]
Munteanu, Alexandru [6 ]
Surlin, Valeriou [6 ]
Sapalidis, Konstantinos [6 ]
Kesisoglou, Isaak [6 ]
机构
[1] Mainz Univ, Acad Educ Hosp, Westpfalz Klinikum, Dept Cardiothorac & Vasc Surg, Kaiserslautern, Germany
[2] Univ Freiburg, Fac Med, Med Ctr, Dept Thorac Surg, Freiburg, Germany
[3] Henry Dunant Hosp, Dept Cardiothorac Surg, Athens, Greece
[4] NHS Fdn Trust, Newcastle Upon Tyne Hosp, Cardiothorac Serv, Newcastle Upon Tyne, Tyne & Wear, England
[5] Univ Patras, Dept Cardiothorac Surg, Patras, Greece
[6] Aristotle Univ Thessaloniki, Med Sch, AHEPA Univ Hosp, Dept Surg 3, Thessaloniki, Greece
[7] Theageneio Canc Hosp, Pulm Dept, Thessaloniki, Greece
[8] Democritus Univ Thrace, Univ Gen Hosp Alexandroupolis, Thorac Surg Dept, Alexandroupolis, Greece
[9] Aristotle Univ Thessaloniki, Med Sch, AHEPA Univ Hosp, Anesthesiol Dept, Thessaloniki, Greece
关键词
Hypothermia; Resuscitation; ECMO; Cardiac arrest;
D O I
10.1016/j.rmcr.2018.06.011
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Deep accidental hypothermia is an unusual clinical entity in developed countries. We report a case of a 30 year old male Caucasian patient with accidental severe hypothermia who was transferred to the emergency department of our hospital after prolonged exposure in the urban city's night environment cold as a result of alcohol and drugs abuse. The patient was found unconscious in the first early hours from onlookers. The time that the patient remained unconscious is unknown. During the transfer to the hospital because of cardiac arrest cardiopulmonary resuscitation began. In the emergency department an extracorporeal life support system (ECLS) was implanted under cardiopulmonary resuscitation in order to achieve hemodynamic stabilization and rapid and safe rewarming. The patient's rewarming lasted 6 hours. The patient was extubated the next day.
引用
收藏
页码:66 / 67
页数:2
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