Clinical utilization of a sous vide device in the acute rewarming of frostbitten extremities.

Autor: Daniel NJ; Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America. Electronic address: Nicholas.Daniel@hitchcock.org., Storn JM; Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America., Elder JH; Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America., Chevalier JI; Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America., Weinberg NE; Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States of America.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2022 Feb; Vol. 52, pp. 200-202. Date of Electronic Publication: 2021 Dec 16.
DOI: 10.1016/j.ajem.2021.12.026
Abstrakt: The current standard of care for acute frostbite rewarming is the use of a circulating warm water bath at a temperature of 37 °C to 39 °C. There is no standardized method to achieve this. Manual management of a warm water bath can be inefficient and time consuming. This case describes the clinical use of a sous vide cooking device to create and maintain a circulating warm water bath to rewarm acute frostbite. A 34 year-old male presented to the emergency department with acute frostbite. Each of the patient's feet were placed in a water bath with a sous vide device attached to the side of the basin and set to 38 °C. Temperatures were recorded every 2 m from 2 thermometers. Once target temperature was achieved, the extremities were rewarmed for 30 m. The water baths required an average of 25 m to reach target temperature and maintained the target temperature within ±1 °C for the duration of the rewarming. The extremities were clinically thawed in one session and there were no adverse events. The patient was seen by plastic and vascular surgery and admitted to the hospital for conservative management. He was discharged on hospital day 3 and did not require any amputations. A sous vide device can be used clinically to heat and maintain a water bath and successfully rewarm frostbitten extremities in one 30 m cycle. No adverse events were reported and providers rated this as a convenient method of water bath management.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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