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[Deep accidental hypothermia (24 degrees C). A case report].

W Kröll1, C Matzer, H V Schalk

  • 1Universitätsklinik für Anästhesiologie, Universität Graz.

Anasthesie, Intensivtherapie, Notfallmedizin
|December 1, 1988
PubMed
Summary

Accidental hypothermia in an intoxicated patient was successfully treated with extracorporeal bypass rewarming. This critical care intervention allowed for a full recovery and discharge, demonstrating its effectiveness in severe cold exposure cases.

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Area of Science:

  • Emergency Medicine
  • Toxicology
  • Cardiovascular Surgery

Background:

  • Accidental hypothermia presents a significant clinical challenge, particularly when exacerbated by substance intoxication.
  • Melperon intoxication can impair thermoregulation, increasing susceptibility to cold injuries.
  • Extracorporeal rewarming methods are reserved for severe cases of hypothermia unresponsive to conventional treatments.

Observation:

  • A 65-year-old female presented to the Intensive Care Unit (ICU) with profound accidental hypothermia (body temperature 24°C).
  • The hypothermia resulted from prolonged exposure to cold water following Melperon intoxication.
  • The patient required immediate and aggressive rewarming strategies.

Findings:

  • Extracorporeal bypass was employed for rapid and effective rewarming of the patient.

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  • The rewarming process was successful in restoring normothermia.
  • The patient experienced an uncomplicated post-event recovery course.

    • Implications:

    • Extracorporeal rewarming is a viable and effective treatment for severe accidental hypothermia, even in intoxicated patients.
    • Prompt and aggressive management can lead to complete recovery and survival in critical hypothermia cases.
    • This case highlights the importance of considering intoxication as a contributing factor in accidental hypothermia presentations.