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Titolo:
SEVERE ACCIDENTAL HYPOTHERMIA
Autore:
ROUSSEAU JM; GIRAUD D; BARRIOT P; LADAGNOUS JF; PITTI R;
Indirizzi:
HOP INSTRUCT ARMEES LEGOUEST,DEPT ANESTHESIE REANIMAT F-57998 METZ ARMEES FRANCE
Titolo Testata:
Annales francaises d'anesthesie et de reanimation
fascicolo: 6, volume: 13, anno: 1994,
pagine: 860 - 864
SICI:
0750-7658(1994)13:6<860:SAH>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
FRE
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Rousseau et al., "SEVERE ACCIDENTAL HYPOTHERMIA", Annales francaises d'anesthesie et de reanimation, 13(6), 1994, pp. 860-864

Abstract

Two cases of severe accidental hypothermia (core temperature below 25degrees C) are reported. Both occurred in an urban area during the same winter period. Both patients had the same age and similar clinical symptoms. In the first patient, the EEG, the echocardiography and the blood gases were in favour of a good tolerance of hypothermia, which led to choice a non aggressive rewarming method. The latter included the rewarming of inhaled gas mixture as well as i.v. fluids and gastro-intestinal lavage fluid. The outcome was uneventful. In the second patient, the visceral and biological consequences were more important (pH:6.80, blood glucose concentration: 1.48 mmol.L(-1), major coagulationdisorders). Therefore a rapid rewarming via a cardiopulmonary bypass was preferred. The patient died from a prolonged shock with disseminated intravascular coagulation. The use of cardiopulmonary bypass which is essential in case of cardiac arrest rhythm, is controversial in case of severe hypothermia with a still beating heart.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/05/13 alle ore 13:00:23