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*Hypothermia
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research-article

Treatment of accidental hypothermia with cardiopulmonary bypass: a case report

R Binnema

Department of Extracorporeal Circulation, Medical Centre Leeuwarden, the Netherlands riemke.anema{at}znb.nl

A van der Wal

Department of Extracorporeal Circulation, Medical Centre Leeuwarden, the Netherlands

C Visser

Department of Extracorporeal Circulation, Medical Centre Leeuwarden, the Netherlands

R Schepp

Department of Cardiac Anaesthesia, Medical Centre Leeuwarden, the Netherlands

L Jekel

Department of Cardiothoracic Surgery, Medical Centre Leeuwarden, the Netherlands

P Schröder

Department of Cardiothoracic Surgery, Medical Centre Leeuwarden, the Netherlands

This case report describes the successful treatment of severe accidental hypothermia of a 40-year-old woman. At arrival in the operating theatre her rectal temperature was 23°C, her nasal temperature 21°C and her periferal temperature 14°C. The patient presented with a severe respiratory and metabolic acidosis which was corrected during cardiopulmonary bypass (CPB). She was rewarmed to obtain a rectal and nasal temperature of 34°C. After 272 minutes, the patient was weaned successfully from CPB. The patient remained at mild hypothermia (34°C) for 24 hours in the intensive care unit (ICU). The chest X-ray showed some signs of acute respiratory distress syndrome (ARDS) in spite of normal blood gas values. This improved within a few days and, after five days, she was transferred to the nursing department. On the seventh day, the patient was discharged from hospital without physical or neurological complaints.

Key Words: accidental hypothermia • drowning • cardiopulmonary bypass

Perfusion, Vol. 23, No. 3, 193-196 (2008)
DOI: 10.1177/0267659108099651
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