title: Extracorporeal Rewarming From Accidental Hypothermia of Patient With Suspected Trauma.
abstract: The use of extracorporeal membrane oxygenation is a new approach to rewarming patients with severe hypothermia and hemodynamic instability. There are, however, many questions regarding qualification for this technique in case of suspected or confirmed trauma.A male with confirmed accidental hypothermia (25°C) and after successful cardiopulmonary resuscitation from in-hospital cardiac arrest was subjected to a protocol of extracorporeal rewarming from profound hypothermia. Because of unclear history, a full trauma computed tomography was performed that showed pericerebral hematoma and signs of previously undergone right craniotomy, multiple right-sided rib fractures and the presence of intraperitoneal fluid. Based on repeated imaging and specialist consultation, no life-threatening injuries were identified and rewarming with extracorporeal membrane oxygenation was safely performed. In a year follow-up, the patient was found to be alive, with no neurologic deficits.Although this case highlights the first successful utilization of extracorporeal rewarming in a trauma patient at our center there are several limitations to its widespread use.
authors.affiliation: From the Department of Anesthesiology and Intensive Care, John Paul II Hospital, Collegium Medicum, Jagiellonian University, Cracow, Poland (TD, AJ, RD) and Department of Anesthesiology and Intensive Care, Pulmonary Hospital, Zakopane, Poland (SK).
authors.forename: Tomasz
authors.initials: T
authors.lastname: Darocha
authors.forename: Sylweriusz
authors.initials: S
authors.lastname: Kosiński
authors.forename: Anna
authors.initials: A
authors.lastname: Jarosz
authors.forename: Rafal
authors.initials: R
authors.lastname: Drwila
mesh_terms: D016887:Cardiopulmonary Resuscitation; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006323:Heart Arrest / Q000150:complications / Q000628:therapy; D006801:Humans; D007035:Hypothermia / Q000150:complications / Q000628:therapy*; D008297:Male; D017694:Rewarming / Q000379:methods*; D014947:Wounds and Injuries / Q000150:complications