Management of accidental hypothermia: A narrative review

Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): M.L. Avellanas Chavala, M. Ayala Gallardo, Í. Soteras Martínez, E. Subirats BayegoAbstractA narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings.At prehospital level, it is advised to: (a) perform high-quality cardiopulmonary resuscitation for cardiac arrest patients, regardless of body temperature; (b) establish measures to minimize further cooling; (c) initiate rewarming; (d) prevent rescue collapse and continued cooling (afterdrop); and (e) select the appropriate hospital based on the clinical and hemodynamic situation of the patient.Extracorporeal life support has revolutionized rewarming of the hemodynamically unstable victim or patients suffering cardiac arrest, with survival rates of up to 100%.The new evidences indicate that the management of accidental hypothermia has evolved favorably, with substantial improvement of the final outcomes.ResumenLa presente revisión narrativa se centra en el diagnóstico, el tratamiento y la gestión de la hipotermia accidental. Si bien todos estos procesos son continuos, en el presente manuscrito las recomendaciones se organizan con fines descriptivos en prehospitalarias y hospitalari...
Source: Medicina Intensiva - Category: Intensive Care Source Type: research

Related Links:

Background: Although hypothermia is known to have protective effects against ischemic injuries, the effects of hypothermia on kidney injury have not yet been elucidated. Therefore, this study aimed to identify the association between intraoperative hypothermia and postoperative acute kidney injury (AKI) in patients who underwent spine surgery under general anesthesia. Methods: In this retrospective observational study, we analyzed the medical records of adult patients who underwent elective spine surgery between January 2010 and March 2018. Patients were classified into the normothermia group (36.5 to 37.5°C), mil...
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research
AbstractWe previously reported that the inactivation (cKO) or the stabilization (cST) of β-catenin in cells expressing the astrocyte-specific glutamate aspartate transporter (GLAST) is associated with the vulnerability or resilience to exhibit anxious/depressive-like behaviors, respectively, and to changes in hippocampal proliferation. Here, we used these cKO and cST β-catenin mice to study the serotonergic system functionality associated with their behavioral/molecular phenotype. The activity of 5-HT1A receptors was assessed by (+)-8-OH-DPAT-induced hypothermia and [35S]GTP γS binding autoradiography. The ...
Source: Molecular Neurobiology - Category: Neurology Source Type: research
This study proposes a multi-center RCT in order to compare outcomes of warmer hypothermic strategies during aortic hemiarch surgery on a composite endpoint of neurologic and acute kidney injury (AKI).Methods/designThis is a prospective multi-center, single-blind two-arm RCT comparing mild (32  °C) versus moderate (26 °C) hypothermic cardiac arrest in patients (n = 282) undergoing hemiarch surgery with antegrade cerebral perfusion (ACP). The primary endpoint is a composite of neurological injury (incidence of transient ischemic attack and/or stroke) and Kidney Disease Improving Global Out...
Source: Trials - Category: Research Source Type: clinical trials
Hypothermia on the battlefield has been shown to be associated with severe injury and higher mortality. The incidence of battlefield casualties presenting to with hypothermia are described.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
A British woman has made a full recovery after suffering a six-hour cardiac arrest caused by severe hypothermia -- a condition that doctors say also saved her life.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news
A 34-year-old British hiker was revived in Spain after a six-hour cardiac arrest brought on by severe hypothermia, with the low mountain temperatures that made her ill also helping to save her life in what a doctor described as an"exceptional case."Reuters Health Information
Source: Medscape Critical Care Headlines - Category: Intensive Care Tags: Cardiology News Source Type: news
Audrey Mash got caught in a snowstorm while hiking in the Pyrenees. Doctors say she experienced the longest period of cardiac arrest that a patient has survived in Spain.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Hikes and Hiking Hypothermia Heart Rescues Pyrenees Mountains Barcelona (Spain) Great Britain Audrey Schoeman Source Type: news
A British woman has made a full recovery after suffering a six-hour cardiac arrest caused by severe hypothermia -- a condition that doctors say also saved her life.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news
CONCLUSION: Hypothermia in the first hour of life was prevalent in preter m infants, being associated with clinical complications. The prevention of hypothermia in the first hour of life is fundamental in the reduction of diseases related to prematurity. PMID: 31800797 [PubMed - in process]
Source: Revista gaucha de enfermagem EENFUFRGS - Category: Nursing Tags: Rev Gaucha Enferm Source Type: research
Audrey Mash got caught in a snowstorm while hiking in the Pyrenees. Doctors say she experienced the longest period of cardiac arrest that a patient has survived in Spain.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Hikes and Hiking Hypothermia Heart Rescues Pyrenees Mountains Barcelona (Spain) Great Britain Audrey Schoeman Source Type: news
More News: Cardiology | Heart | Hospitals | Hypothermia | Intensive Care