Anesthetic Management of Successful Extracorporeal Resuscitation After Six Hours of Cardiac Arrest Due to Severe Accidental Hypothermia.

ECLS ECMO ECPR cardiac arrest extracorporeal assisted rewarming extracorporeal cardiopulmonary resuscitation extracorporeal life support extracorporeal membrane oxygenation hypothermia resuscitation

Journal

Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208

Informations de publication

Date de publication:
11 2021
Historique:
received: 18 08 2020
revised: 05 11 2020
accepted: 06 11 2020
pubmed: 11 12 2020
medline: 26 10 2021
entrez: 10 12 2020
Statut: ppublish

Résumé

Accidental hypothermia (AH) in Mediterranean countries often is underestimated. AH should be suspected in patients also in moderate climates throughout all seasons. Compared with other countries, the mortality rate due to AH in Spain is low, and hypothermia rarely is recognized and treated. The case of a patient who experienced cardiac arrest due to severe AH and was resuscitated for more than six hours using extracorporeal life support recently was published. Herein that case is reviewed, with the anesthetic management during cannulation detailed. In addition, the authors highlight how the application of extracorporeal cardiopulmonary resuscitation guidelines is different in AH patients, how in-hospital (HOPE score) triage criteria should be applied, and how the establishment of clear standard operating procedures and education strategies should be promoted.

Identifiants

pubmed: 33298372
pii: S1053-0770(20)31193-9
doi: 10.1053/j.jvca.2020.11.016
pii:
doi:

Substances chimiques

Anesthetics 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

3303-3306

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

R Blasco Mariño (RB)

Department of Anesthesiology, Vall d'Hebron University Hospital, Barcelona, Spain. Electronic address: rblasco@vhebron.net.

E Argudo (E)

Department of Critical Care, Vall d'Hebron University Hospital and Vall d'Hebron Research Institute, Barcelona, Spain.

M Ribas (M)

Department of Anesthesiology, Vall d'Hebron University Hospital, Barcelona, Spain.

X Rogés Robledo (XR)

Department of Anesthesiology, Vall d'Hebron University Hospital, Barcelona, Spain.

I Soteras Martínez (IS)

University of Girona, Department of Medical Science, Girona, Catalunya, Spain.

G Strapazzon (G)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy; Department of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

T Darocha (T)

Department of Anesthesiology and Intensive Care Medicine, Medical University of Silesia, Katowice, Poland.

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Classifications MeSH