Successful Defibrillation at a Core Temperature of 18.2 Degrees Celsius
| Autor: | A. Drzewiecka, Mathieu Pasquier, Rafał Drwiła, Sylweriusz Kosiński, Paweł Podsiadło, Tomasz Darocha, Krzysztof S. Gołba |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Defibrillation medicine.medical_treatment Electric Countershock Wilderness Medicine Hypothermia Extracorporeal Environmental Medicine 03 medical and health sciences 0302 clinical medicine Degree Celsius medicine Humans Cardiopulmonary resuscitation Rewarming business.industry Extracorporeal circulation Public Health Environmental and Occupational Health 030208 emergency & critical care medicine 030229 sport sciences Middle Aged Implantable cardioverter-defibrillator Treatment Outcome Shock (circulatory) Anesthesia Emergency Medicine medicine.symptom business |
| Zdroj: | Wilderness & Environmental Medicine. 31:230-234 |
| ISSN: | 1080-6032 |
| DOI: | 10.1016/j.wem.2020.01.003 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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