This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (52)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Successful Resuscitation by Core Rewarming and Assisted Circulation

Daryl G. Truscott, MD; Whitmer B. Firor, MD, FRCS (C); Laurence J. Clein, MB, FRCS (C)

AMA Arch Surg. 1973;106(2):216-218.

Abstract
Successful recovery from accidental profound hypothermia (rectal temperature 22 C [71.6 F] using bloodstream rewarming is described. Circulation and respiration had ceased prior to the initiation of extracorporeal circulation.

Core rewarming is theoretically preferable to surface methods in that the central organs, particularly the heart, are rewarmed in advance of the increasing metabolic demands at the periphery. Precisely the opposite situation is obtained with surface rewarming. Nonetheless, mild accidental hypothermia or more severe degrees in which an effective circulation persists can be managed appropriately by surface rewarming techniques. If the circulation is inadequate when the patient is first seen or should fail during surface rewarming, we would currently regard bloodstream rewarming using peripheral cannulation, a pump-oxygenator, and a heat exchanger as the method of choice.

Author Affiliations
Saskatoon, Saskatchewan

From the Department of Surgery, University of Saskatchewan, University Hospital, Saskatoon, Saskatchewan.

Footnotes
Accepted for publication Sept 21, 1972.

Reprint requests to Department of Surgery, University of Saskatchewan, University Hospital, Saskatoon, Saskatchewan (Dr. Firor).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Use of Extracorporeal Rewarming in a Child Submerged for 66 Minutes
Bolte et al.
JAMA 1988;260:377-379.
ABSTRACT  

Disorders of Temperature Control: Hypothermia, Part III
Curley and Irwin
J Intensive Care Med 1986;1:270-288.
ABSTRACT  

Recovery After Prolonged Asystolic Cardiac Arrest in Profound Hypothermia: A Case Report and Literature Review
Southwick and Dalglish
JAMA 1980;243:1250-1253.
ABSTRACT  

Treatment of Profound Hypothermia
Welton et al.
JAMA 1978;240:2291-2292.
ABSTRACT  

Hypothermia: Pathophysiology, Clinical Settings, and Management
REULER
ANN INTERN MED 1978;89:519-527.
ABSTRACT  

Accidental Hypothermia: Associated Diagnoses and Prognosis in a Common Problem
Hudson and Conn
JAMA 1974;227:37-40.
ABSTRACT