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Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest-A Narrative Review. | LitMetric

AI Article Synopsis

  • - Severe hypothermia in patients, especially those in cardiac arrest, needs specialized treatment due to complications like heart irregularities, low blood flow, and decreased brain activity.
  • - Challenges in effectively treating these patients often stem from issues with awareness, logistics, and planning.
  • - Despite the seriousness of symptoms like cardiac arrest and organ dysfunction, there are potential chances for neurological recovery under specific conditions, and the review offers guidance on treatment and patient selection, including the use of extracorporeal life support.

Article Abstract

Severely hypothermic patients, especially suffering cardiac arrest, require highly specialized treatment. The most common problems affecting the recognition and treatment seem to be awareness, logistics, and proper planning. In severe hypothermia, pathophysiologic changes occur in the cardiovascular system leading to dysrhythmias, decreased cardiac output, decreased central nervous system electrical activity, cold diuresis, and noncardiogenic pulmonary edema. Cardiac arrest, multiple organ dysfunction, and refractory vasoplegia are indicative of profound hypothermia. The aim of these narrative reviews is to describe the peculiar pathophysiology of patients suffering cardiac arrest from accidental hypothermia. We describe the good chances of neurologic recovery in certain circumstances, even in patients presenting with unwitnessed cardiac arrest, asystole, and the absence of bystander cardiopulmonary resuscitation. Guidance on patient selection, prognostication, and treatment, including extracorporeal life support, is given.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797003PMC
http://dx.doi.org/10.1097/MAT.0000000000001518DOI Listing

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