Hypothermia rescued by veno-arterial extracorporeal membrane oxygenation: a case report

Author:

Chen Hao1,Yuan Wei1,Sun Xiangyou1,Sun Yutian1,Zhang Jing1,Wu Haibo1

Affiliation:

1. Second Affiliated Hospital of Dalian Medical University

Abstract

Abstract Background: Severe hypothermia is a life-threatening condition that often causes hemodynamic instability or cardiac arrest and carries a high risk of mortality. The use of VA-ECMO in this indication has greatly improved the prognosis of patients. Case presentation: We describe an incredible case involving the complete recovery of a 47-year-old man placed on VA-ECMO for cardiogenic shock and protracted ventricular fibrillation caused by hypothermia. The patient was discharged home in 20 days with no neurologic sequelae. Clinical discussion: Extracorporeal life support (ECLS) with cardiopulmonary bypass (CPB) or extracorporeal membrane oxygenation (ECMO) has been recommended as the gold standard for the treatment of severe hypothermia due to its rapid availability and the possibility of prolonged support. Our case demonstrates the effectiveness of ECMO in treating patients with hypothermic cardiogenic shock. At the same time, nutritional support and rehabilitation therapy play an integral role in the whole treatment process. Therefore, it is recommended that such patients be managed by an experienced cardiac team that can evaluate the patient's condition in multiple aspects. Conclusion: ECMO is effective in the treatment of cardiogenic shock caused by hypothermia.

Publisher

Research Square Platform LLC

Reference17 articles.

1. The medical on-site treatment of hypothermia: ICAR-MEDCOM recommendation;Durrer B;High Alt Med Biol,2003

2. Accidental hypothermia treated by extracorporeal blood warming;Davies DM;Lancet,1967

3. Paal P et al. Accidental Hypothermia: 2021 Update. Int J Environ Res Public Health, 2022. 19(1).

4. Assessment of neurological prognosis in comatose survivors of cardiac arrest. BRCT I Study Group;Edgren E;Lancet,1994

5. Cerebral resuscitation after cardiac arrest: research initiatives and future directions;Safar P;Ann Emerg Med,1993

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3