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[Hypothermia: a non renal indication for peritoneal dialysis]
1Depto de Medicina y Cátedra de Farmacología, Facultad de Medicina, Universidad de Valparaíso, Chile.
Revista Medica De Chile
|July 1, 1994
Summary
Accidental hypothermia, defined as core body temperature below 35°C, can cause severe complications. Peritoneal dialysis effectively reversed hypothermia in a liquefied petroleum gas intoxication case.
Area of Science:
- Emergency Medicine
- Toxicology
- Critical Care
Background:
- Accidental hypothermia (core temperature <35°C) is rare but serious, linked to high morbidity and mortality.
- Liquefied petroleum gas intoxication is an uncommon cause of severe hypothermia and systemic complications.
Observation:
- A 16-year-old female presented with coma, hypothermia, hemodynamic instability, lactic acidosis, rhabdomyolysis, and iliofemoral phlebothrombosis after liquefied petroleum gas intoxication.
- The patient's core temperature was significantly reduced, indicating severe hypothermia.
Findings:
- Peritoneal dialysis using 27°C solutions was administered as a rapid and safe rewarming method.
- This intervention successfully reverted the patient's hypothermia and mitigated associated risks.
Implications:
- Peritoneal dialysis is a viable and effective treatment for severe accidental hypothermia, particularly in intoxication cases.
- Prompt management of hypothermia and its complications is crucial for patient survival and recovery.