Successful Defibrillation at a Core Temperature of 18.2 Degrees Celsius.

Details

Serval ID
serval:BIB_C60D1AC7EE00
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Successful Defibrillation at a Core Temperature of 18.2 Degrees Celsius.
Journal
Wilderness & environmental medicine
Author(s)
Kosiński S., Drzewiecka A., Pasquier M., Gołba K.S., Podsiadło P., Drwiła R., Darocha T.
ISSN
1545-1534 (Electronic)
ISSN-L
1080-6032
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
31
Number
2
Pages
230-234
Language
english
Notes
Publication types: Case Reports
Publication Status: ppublish
Abstract
Both the temperature at which defibrillation can be effectively used and how often it should be repeated in severe accidental hypothermia have not been definitely established. Current recommendations are based mainly on expert opinion and suggest withholding defibrillation after 3 shocks when the core temperature is below 30°C (86°F). However, growing evidence supports the effectiveness of defibrillation in patients with a core temperature below 30°C (86°F). We present a case of successful defibrillation of a 54-y-old, severely hypothermic patient with a core temperature of 18.2°C (64.8°F). The shock was delivered automatically by an implanted cardioverter-defibrillator shortly after the implementation of extracorporeal rewarming. The patient survived and was discharged from the hospital neurologically intact. It might be reasonable to consider defibrillation attempts in severely hypothermic patients despite current guidelines to the contrary. Increasing coronary perfusion using extracorporeal circulation may result in a better response to defibrillation.
Keywords
cardiopulmonary resuscitation, extracorporeal life support, hypothermia, implantable cardioverter-defibrillator, extracorporeal life support
Pubmed
Web of science
Open Access
Yes
Create date
02/05/2020 14:28
Last modification date
26/09/2020 5:26
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