TITLE

Treatment of accidental hypothermia with cardiopulmonary bypass: a case report

AUTHOR(S)
Binnema, R.; van der Wal, A.; Visser, C.; Schepp, R.; Jekel, L.; Schröder, P.
PUB. DATE
May 2008
SOURCE
Perfusion;May2008, Vol. 23 Issue 3, p193
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
This case report describes the successful treatment of severe accidental hypothermia of a 40-year-old woman. At arrival in the operating theatre her rectal temperature was 23°C, her nasal temperature 21°C and her periferal temperature 14°C. The patient presented with a severe respiratory and metabolic acidosis which was corrected during cardiopulmonary bypass (CPB). She was rewarmed to obtain a rectal and nasal temperature of 34°C. After 272 minutes, the patient was weaned successfully from CPB. The patient remained at mild hypothermia (34°C) for 24 hours in the intensive care unit (ICU). The chest X-ray showed some signs of acute respiratory distress syndrome (ARDS) in spite of normal blood gas values. This improved within a few days and, after five days, she was transferred to the nursing department. On the seventh day, the patient was discharged from hospital without physical or neurological complaint.
ACCESSION #
35569729

 

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