Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest-A Narrative Review.

Details

Serval ID
serval:BIB_7133A5DDAFE3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest-A Narrative Review.
Journal
ASAIO journal
Author(s)
Swol J., Darocha T., Paal P., Brugger H., Podsiadło P., Kosiński S., Puślecki M., Ligowski M., Pasquier M.
ISSN
1538-943X (Electronic)
ISSN-L
1058-2916
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Severely hypothermic patients, especially suffering cardiac arrest, require highly specialized treatment. The most common problems affecting the recognition and treatment seem to be awareness, logistics, and proper planning. In severe hypothermia, pathophysiologic changes occur in the cardiovascular system leading to dysrhythmias, decreased cardiac output, decreased central nervous system electrical activity, cold diuresis, and noncardiogenic pulmonary edema. Cardiac arrest, multiple organ dysfunction, and refractory vasoplegia are indicative of profound hypothermia. The aim of these narrative reviews is to describe the peculiar pathophysiology of patients suffering cardiac arrest from accidental hypothermia. We describe the good chances of neurologic recovery in certain circumstances, even in patients presenting with unwitnessed cardiac arrest, asystole, and the absence of bystander cardiopulmonary resuscitation. Guidance on patient selection, prognostication, and treatment, including extracorporeal life support, is given.
Pubmed
Open Access
Yes
Create date
28/07/2021 9:54
Last modification date
10/08/2021 6:39
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