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A case of hypothermia on CRRT
Gurwant Kaur1, Prameela Banoth1, Preethi Yerram1
1Department of Medicine, Division of Nephrology, University of Missouri, Columbia, Missouri, USA.
Hemodialysis International. International Symposium on Home Hemodialysis
|October 25, 2017
Summary
Hypothermia is a rare complication of continuous renal replacement therapy (CRRT). This case study details successful management of severe hypothermia in a patient undergoing CRRT for acute kidney injury, highlighting critical care insights.
Area of Science:
- Nephrology
- Critical Care Medicine
- Internal Medicine
Background:
- Acute kidney injury (AKI) is a common complication in critically ill patients.
- Continuous renal replacement therapy (CRRT) is a life-saving treatment for AKI.
- Critically ill patients often have multiple comorbidities, increasing treatment complexity.
Observation:
- A 64-year-old male with hypertension, hypothyroidism, and hyperlipidemia presented with fever, cough, and dyspnea.
- The patient developed acute lung injury, acute respiratory distress syndrome, septic shock, and AKI requiring CRRT.
- On day 3 of CRRT, the patient experienced severe hypothermia (27.5°C), which was successfully managed.
Findings:
- Severe hypothermia can occur during CRRT in critically ill patients.
- Prompt recognition and management of hypothermia are crucial for patient outcomes.
- Renal function recovery allowed for discontinuation of CRRT and patient discharge.
Implications:
- This case highlights the importance of monitoring temperature in patients on CRRT.
- Understanding the pathophysiology and management of hypothermia during CRRT is essential for clinicians.
- Further research into preventing and treating hypothermia in this population is warranted.
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