[Successful treatment of extreme metabolic acidosis and profound hypothermia].
A case of extreme metabolic acidosis (pH 6.6) and severe hypothermia (27.3 degrees C) is reported. The patient's anamnesis and medical examination led to the assumption of ketoacidosis. Pronounced ketoacidosis is not unusual in juvenile diabetics type 1 and the incidence in Europe is reported to be between 15 and 70% for all type 1 diabetics. The case describes the targeted therapy of controlled re-warming to avoid neurological damage.
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Abteilung für Anästhesie und Perioperative Medizin, Asklepios Klinik Langen, Akademisches Lehrkrankenhaus der J.-W.-Goethe-Universität, Frankfurt a.M., Röntgenstrasse 2a, 63225, Langen, Deutschland. t.neuenfeldt@asklepios.com
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D000136:Acid-Base Equilibrium / Q000502:physiology; D000138:Acidosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D001775:Blood Circulation / Q000502:physiology; D001784:Blood Gas Analysis; D001831:Body Temperature / Q000502:physiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007035:Hypothermia / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020896:Hypovolemia / Q000209:etiology; D008297:Male