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  • Title: [Extracorporeal circulation for warming in severe accidental hypothermia. 3 cases].
    Author: Demaria R, Frapier JM, Valat J, Albat B, Aymard T, Geoffroy N, Godard C, Bodino M, Rouvière P, Chaptal PA.
    Journal: Presse Med; 1998 Apr 11; 27(14):664-6. PubMed ID: 9767922.
    Abstract:
    BACKGROUND: Severe accidental hypothermia with central temperature below 28 degrees C can result from prolonged cold exposure and lead to a fatal outcome by spontaneous or provoked ventricular fibrillation. CASE REPORT: Three patients were referred for central temperature below 24 degrees C. At admission, the patients had major ventricular rythm disorders (two were in a state of circulatory arrest and the third had auricular fibrillation and circulatory collapse). Emergency care associated internal warning using extracorporeal circulation via the femoro-femoral route with a centrifuge pump. Outcome was favorable in 2 cases. DISCUSSION: Prognosis is very poor in patients who experience severe accidental hypothermia (< 28 degrees C) with circulatory collapse. Death often results from major rhythm disorders. Optimal emergency rewarming and oxygenation using extracorporeal circulatory assistance can be successful.
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