The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients-A Literature Review

被引：3

作者：

Hymczak, Hubert ^{[1
,2
]}

Golab, Aleksandra ^{[3
,4
]}

Kosinski, Sylweriusz ^{[5
]}

Podsiadlo, Pawel ^{[6
]}

Sobczyk, Dorota ^{[7
,8
]}

Drwila, Rafal ^{[1
,9
]}

Kapelak, Boguslaw ^{[8
,9
]}

Darocha, Tomasz ^{[10
]}

Plicner, Dariusz ^{[8
,11
]}

机构：

[1] St John Paul II Hosp, Dept Anesthesiol & Intens Care, PL-31202 Krakow, Poland

[2] Andrzej Frycz Modrzewski Krakow Univ, Fac Med & Hlth Sci, PL-30705 Krakow, Poland

[3] Pomeranian Med Univ, Fac Med & Dent, PL-70204 Szczecin, Poland

[4] John Paul 2 Hosp, Ctr Res & Innovat Technol, PL-31202 Krakow, Poland

[5] Jagiellonian Univ Med Coll, Dept Interdisciplinary Intens Care, PL-31008 Krakow, Poland

[6] Jan Kochanowski Univ Humanities & Sci, Inst Med Sci, PL-25369 Kielce, Poland

[7] John Paul 2 Hosp, Dept Cardiovasc Dis, PL-31202 Krakow, Poland

[8] John Paul 2 Hosp, Dept Cardiovasc Surg & Transplantat, PL-31202 Krakow, Poland

[9] Jagiellonian Univ Med Coll, PL-31008 Krakow, Poland

[10] Med Univ Silesia, Dept Anesthesiol & Intens Care, PL-40055 Katowice, Poland

[11] Andrzej Frycz Modrzewski Krakow Univ, Fac Med & Hlth Sci, Unit Expt Cardiol & Cardiac Surg, PL-30705 Krakow, Poland

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 21期

关键词：

accidental hypothermia; cardiac arrest; extracorporeal membrane oxygenation; hypothermia; CORE TEMPERATURE-MEASUREMENT; CARDIOPULMONARY-RESUSCITATION; LIFE-SUPPORT; CARDIOGENIC-SHOCK; VA-ECMO; MORTALITY; ADULT; PATHOPHYSIOLOGY; ANTICOAGULATION; METAANALYSIS;

D O I：

10.3390/jcm12216730

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Accidental hypothermia, defined as an unintentional drop of the body core temperature below 35 degrees C, is one of the causes of cardiocirculatory instability and reversible cardiac arrest. Currently, extracorporeal life support (ECLS) rewarming is recommended as a first-line treatment for hypothermic cardiac arrest patients. The aim of the ECLS rewarming is not only rapid normalization of core temperature but also maintenance of adequate organ perfusion. Veno-arterial extracorporeal membrane oxygenation (ECMO) is a preferred technique due to its lower anticoagulation requirements and potential to prolong circulatory support. Although highly efficient, ECMO is acknowledged as an invasive treatment option, requiring experienced medical personnel and is associated with the risk of serious complications. In this review, we aimed to discuss the clinical aspects of ECMO management in severely hypothermic cardiac arrest patients.

引用

页数：13

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