Excellent outcome with extracorporeal membrane oxygenation after accidental profound hypothermia (13.8°C) and drowning

Critical Care Medicine

Volumn 43, Issue 11, 2015, Pages e521-e525

  Romlin, Birgitta S ^a   Winberg, Helena ^a   Janson, Magnus ^a   Nilsson, Boris ^a   Björk, Kerstin ^b   Jeppsson, Anders ^b,c   Drake, Gunilla ^a   Claesson, Andreas ^d  

^a QUEEN SILVIA CHILDREN'S HOSPITAL   (Sweden)

^b SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^c UNIVERSITY OF GOTHENBURG   (Sweden)

^d KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Drowning; Extracorporeal membrane oxygenation; Hypothermia; Pediatric

Indexed keywords

ADRENALIN; ANTICONVULSIVE AGENT; CALCIUM; CREATINE KINASE; FUROSEMIDE; GLUCOSE; HEMOGLOBIN; ICE; LACTIC ACID; MIDAZOLAM; MORPHINE; POTASSIUM; SEA WATER; SODIUM;

ACCIDENTAL HYPOTHERMIA; ACUTE KIDNEY FAILURE; ANXIETY; ARTICLE; ATTENTION DEFICIT DISORDER; ATTENTION DISTURBANCE; AUTISM; BLEEDING TENDENCY; BODY TEMPERATURE; CARDIOPULMONARY BYPASS; CASE REPORT; CHILD; CIRCADIAN RHYTHM; COGNITIVE DEFECT; COMPARTMENT SYNDROME; CONTINUOUS HEMODIAFILTRATION; CONTINUOUS INFUSION; DISEASE SEVERITY; DIURESIS; DROWNING; DYSTHYMIA; ELECTROCARDIOGRAPHY; EXTRACORPOREAL OXYGENATION; FASCIOTOMY; FEMALE; FUNGEMIA; GAIT DISORDER; GLUCOSE BLOOD LEVEL; HEART ARREST; HEART LUNG MACHINE; HEART MUSCLE CONTRACTILITY; HEART TAMPONADE; HEMATOCRIT; HUMAN; INTENSIVE CARE; KIDNEY FAILURE; NIGHTMARE; PERICARDIAL EFFUSION; PERITONEAL DIALYSIS; PHYSIOTHERAPY; PLAY THERAPY; POTASSIUM BLOOD LEVEL; PRIORITY JOURNAL; RESUSCITATION; SCHOOL CHILD; STERNOTOMY; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME; TEMPERATURE; TONIC CLONIC SEIZURE; TREATMENT OUTCOME; WATER IMMERSION; EMERGENCY HEALTH SERVICE; FOLLOW UP; HYPOTHERMIA; MULTIMODALITY CANCER THERAPY; PROCEDURES; RISK ASSESSMENT; WARMING;

CARDIOPULMONARY RESUSCITATION; CHILD; COMBINED MODALITY THERAPY; DROWNING; EMERGENCY SERVICE, HOSPITAL; EXTRACORPOREAL MEMBRANE OXYGENATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYPOTHERMIA; REWARMING; RISK ASSESSMENT; TREATMENT OUTCOME;

EID: 84944460181     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0000000000001283     Document Type: Article

References (18)

1. Gilbert M, Busund R, Skagseth A, et al: Resuscitation from accidental hypothermia of 13.7°C with circulatory arrest. Lancet 2000; 355:375-376
2. Kornberger E, Mair P: Important aspects in the treatment of severe accidental hypothermia: The Innsbruck experience. J Neurosurg Anesthesiol 1996; 8:83-87
3. Szpilman D, Bierens JJ, Handley AJ, et al: Drowning. N Engl J Med 2012; 366:2102-2110
4. Bolte RG, Black PG, Bowers RS, et al: The use of extracorporeal rewarming in a child submerged for 66 minutes. JAMA 1988; 260:377-379
5. Wanscher M, Agersnap L, Ravn J, et al: Outcome of accidental hypothermia with or without circulatory arrest: Experience from the Danish Prtestø Fjord boating accident. Resuscitation 2012; 83:1078-1084
6. Silfvast T, Pettilä V: Outcome from severe accidental hypothermia in Southern Finland-A 10-year review. Resuscitation 2003; 59: 285-290
7. Quan L, Mack CD, Schiff MA: Association of water temperature and submersion duration and drowning outcome. Resuscitation 2014; 85:790-794
8. Suominen P, Baillie C, Korpela R, et al: Impact of age, submersion time and water temperature on outcome in near-drowning. Resuscitation 2002; 52:247-254
9. Tipton MJ, Golden FS: A proposed decision-making guide for the search, rescue and resuscitation of submersion (head under) victims based on expert opinion. Resuscitation 2011; 82:819-824
10. Brown DJ, Brugger H, Boyd J, et al: Accidental hypothermia. N Engl J Med 2012; 367:1930-1938
11. Durrer B, Brugger H, Syme D; International Commission for Mountain Emergency Medicine: The medical on-site treatment of hypothermia: ICAR-MEDCOM recommendation. High Alt Med Biol 2003; 4:99-103
12. Farstad M, Andersen KS, Koller ME, et al: Rewarming from accidental hypothermia by extracorporeal circulation. A retrospective study. Eur J Cardiothorac Surg 2001; 20:58-64
13. Dobson JA, Burgess JJ: Resuscitation of severe hypothermia by extra-corporeal rewarming in a child. J Trauma 1996; 40:483-485
14. Soar J, Perkins GD, Abbas G, et al: European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation 2010; 81:1400-1433
15. Enomoto S, Hindman BJ, Dexter F, et al: Rapid rewarming causes an increase in the cerebral metabolic rate for oxygen that is temporarily unmatched by cerebral blood fow. A study during cardiopulmonary bypass in rabbits. Anesthesiology 1996; 84:1392-1400
16. Rekand T, Sulg IA, Bjaertnes L, et al: Neuromonitoring in hypothermia and in hypothermic hypoxia. Arctic Med Res 1991; 50(Suppl 6):32-36
17. Gluckman PD, Wyatt JS, Azzopardi D, et al: Selective head cooling with mild systemic hypothermia after neonatal encephalopathy: Multi-centre randomised trial. Lancet 2005; 365:663-670
18. Shankaran S, Laptook AR, Ehrenkranz RA, et al; National Institute of Child Health and Human Development Neonatal Research Network: Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. N Engl J Med 2005; 353:1574-1584