The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review
Accidental hypothermia, defined as an unintentional drop of the body core temperature below 35 °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 car...
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| Format: | Article |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/21/6730 |
| _version_ | 1797631724478267392 |
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| author | Hubert Hymczak Aleksandra Gołąb Sylweriusz Kosiński Paweł Podsiadło Dorota Sobczyk Rafał Drwiła Bogusław Kapelak Tomasz Darocha Dariusz Plicner |
| author_facet | Hubert Hymczak Aleksandra Gołąb Sylweriusz Kosiński Paweł Podsiadło Dorota Sobczyk Rafał Drwiła Bogusław Kapelak Tomasz Darocha Dariusz Plicner |
| author_sort | Hubert Hymczak |
| collection | DOAJ |
| description | Accidental hypothermia, defined as an unintentional drop of the body core temperature below 35 °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. |
| first_indexed | 2024-03-11T11:27:20Z |
| format | Article |
| id | doaj.art-6fb9bccc36fc47bdb2e06a20d853f2f8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T11:27:20Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6fb9bccc36fc47bdb2e06a20d853f2f82023-11-10T15:06:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011221673010.3390/jcm12216730The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature ReviewHubert Hymczak0Aleksandra Gołąb1Sylweriusz Kosiński2Paweł Podsiadło3Dorota Sobczyk4Rafał Drwiła5Bogusław Kapelak6Tomasz Darocha7Dariusz Plicner8Department of Anesthesiology and Intensive Care, St. John Paul II Hospital, 31-202 Krakow, PolandFaculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-204 Szczecin, PolandDepartment of Interdisciplinary Intensive Care, Jagiellonian University Medical College, 31-008 Krakow, PolandInstitute of Medical Sciences, Jan Kochanowski University, 25-369 Kielce, PolandDepartment of Cardiovascular Diseases, John Paul II Hospital, 31-202 Krakow, PolandDepartment of Anesthesiology and Intensive Care, St. John Paul II Hospital, 31-202 Krakow, PolandDepartment of Cardiovascular Surgery and Transplantation, John Paul II Hospital, 31-202 Krakow, PolandDepartment of Anesthesiology and Intensive Care, Medical University of Silesia, 40-055 Katowice, PolandDepartment of Cardiovascular Surgery and Transplantation, John Paul II Hospital, 31-202 Krakow, PolandAccidental hypothermia, defined as an unintentional drop of the body core temperature below 35 °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.https://www.mdpi.com/2077-0383/12/21/6730accidental hypothermiacardiac arrestextracorporeal membrane oxygenationhypothermia |
| spellingShingle | Hubert Hymczak Aleksandra Gołąb Sylweriusz Kosiński Paweł Podsiadło Dorota Sobczyk Rafał Drwiła Bogusław Kapelak Tomasz Darocha Dariusz Plicner The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review Journal of Clinical Medicine accidental hypothermia cardiac arrest extracorporeal membrane oxygenation hypothermia |
| title | The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review |
| title_full | The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review |
| title_fullStr | The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review |
| title_full_unstemmed | The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review |
| title_short | The Role of Extracorporeal Membrane Oxygenation ECMO in Accidental Hypothermia and Rewarming in Out-of-Hospital Cardiac Arrest Patients—A Literature Review |
| title_sort | role of extracorporeal membrane oxygenation ecmo in accidental hypothermia and rewarming in out of hospital cardiac arrest patients a literature review |
| topic | accidental hypothermia cardiac arrest extracorporeal membrane oxygenation hypothermia |
| url | https://www.mdpi.com/2077-0383/12/21/6730 |
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