Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support

Deep accidental hypothermia is an unusual clinical entity in developed countries. We report a case of a 30 year old male Caucasian patient with accidental severe hypothermia who was transferred to the emergency department of our hospital after prolonged exposure in the urban city's night enviro...

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Main Authors: Konstantinos Grapatsas, Vasileios Leivaditis, Ioannis Panagiotopoulos, Konstantinos Spiliotopoulos, Efstratios Koletsis, Manfred Dahm, Christoforos Kosmidis, Stella Laskou, Paul Zarogoulidis, Athanasios Katsaounis, Efstathios Pavlidis, Dimitrios Giannakidis, Charilaos Koulouris, Stylianos Mantalovas, Fotis Konstantinou, Aikaterini Amaniti, Alexandru Munteanu, Valeriou Surlin, Konstantinos Sapalidis, Isaak Kesisoglou
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007118301527
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author Konstantinos Grapatsas
Vasileios Leivaditis
Ioannis Panagiotopoulos
Konstantinos Spiliotopoulos
Efstratios Koletsis
Manfred Dahm
Christoforos Kosmidis
Stella Laskou
Paul Zarogoulidis
Athanasios Katsaounis
Efstathios Pavlidis
Dimitrios Giannakidis
Charilaos Koulouris
Stylianos Mantalovas
Fotis Konstantinou
Aikaterini Amaniti
Alexandru Munteanu
Valeriou Surlin
Konstantinos Sapalidis
Isaak Kesisoglou
spellingShingle Konstantinos Grapatsas
Vasileios Leivaditis
Ioannis Panagiotopoulos
Konstantinos Spiliotopoulos
Efstratios Koletsis
Manfred Dahm
Christoforos Kosmidis
Stella Laskou
Paul Zarogoulidis
Athanasios Katsaounis
Efstathios Pavlidis
Dimitrios Giannakidis
Charilaos Koulouris
Stylianos Mantalovas
Fotis Konstantinou
Aikaterini Amaniti
Alexandru Munteanu
Valeriou Surlin
Konstantinos Sapalidis
Isaak Kesisoglou
Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
Respiratory Medicine Case Reports
author_facet Konstantinos Grapatsas
Vasileios Leivaditis
Ioannis Panagiotopoulos
Konstantinos Spiliotopoulos
Efstratios Koletsis
Manfred Dahm
Christoforos Kosmidis
Stella Laskou
Paul Zarogoulidis
Athanasios Katsaounis
Efstathios Pavlidis
Dimitrios Giannakidis
Charilaos Koulouris
Stylianos Mantalovas
Fotis Konstantinou
Aikaterini Amaniti
Alexandru Munteanu
Valeriou Surlin
Konstantinos Sapalidis
Isaak Kesisoglou
author_sort Konstantinos Grapatsas
title Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
title_short Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
title_full Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
title_fullStr Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
title_full_unstemmed Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
title_sort deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life support
publisher Elsevier
series Respiratory Medicine Case Reports
issn 2213-0071
publishDate 2018-01-01
description Deep accidental hypothermia is an unusual clinical entity in developed countries. We report a case of a 30 year old male Caucasian patient with accidental severe hypothermia who was transferred to the emergency department of our hospital after prolonged exposure in the urban city's night environment cold as a result of alcohol and drugs abuse. The patient was found unconscious in the first early hours from onlookers. The time that the patient remained unconscious is unknown. During the transfer to the hospital because of cardiac arrest cardiopulmonary resuscitation began. In the emergency department an extracorporeal life support system (ECLS) was implanted under cardiopulmonary resuscitation in order to achieve hemodynamic stabilization and rapid and safe rewarming. The patient's rewarming lasted 6 hours. The patient was extubated the next day. Keywords: Hypothermia, Resuscitation, ECMO, Cardiac arrest
url http://www.sciencedirect.com/science/article/pii/S2213007118301527
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spelling doaj-396fd67c208f4dc289fcf1f37053690f2020-11-25T01:17:07ZengElsevierRespiratory Medicine Case Reports2213-00712018-01-01256667Deep accidental hypothermia accompanied with cardiac arrest after alcohol and drug poisoning treated with extracorporeal life supportKonstantinos Grapatsas0Vasileios Leivaditis1Ioannis Panagiotopoulos2Konstantinos Spiliotopoulos3Efstratios Koletsis4Manfred Dahm5Christoforos Kosmidis6Stella Laskou7Paul Zarogoulidis8Athanasios Katsaounis9Efstathios Pavlidis10Dimitrios Giannakidis11Charilaos Koulouris12Stylianos Mantalovas13Fotis Konstantinou14Aikaterini Amaniti15Alexandru Munteanu16Valeriou Surlin17Konstantinos Sapalidis18Isaak Kesisoglou19Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Mainz University, Kaiserslautern, Germany; Department of Thoracic Surgery, Medical Center–University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, GermanyDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Mainz University, Kaiserslautern, GermanyDepartment of Cardiothoracic Surgery, Henry Dunant Hospital, Athens, GreeceCardiothoracic Services, The Newcastle upon Tyne Hospitals, NHS Foundation Trust, UKDepartment of Cardiothoracic Surgery, University of Patras, Patras, GreeceDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Academic Educational Hospital, Mainz University, Kaiserslautern, Germany3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, GreecePulmonary Department, “Theageneio” Cancer Hospital, Thessaloniki, Greece; Corresponding author.3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, GreeceThoracic Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, GreeceAnesthesiology Department, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece3rd Department of Surgery, “AHEPA” University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, GreeceDeep accidental hypothermia is an unusual clinical entity in developed countries. We report a case of a 30 year old male Caucasian patient with accidental severe hypothermia who was transferred to the emergency department of our hospital after prolonged exposure in the urban city's night environment cold as a result of alcohol and drugs abuse. The patient was found unconscious in the first early hours from onlookers. The time that the patient remained unconscious is unknown. During the transfer to the hospital because of cardiac arrest cardiopulmonary resuscitation began. In the emergency department an extracorporeal life support system (ECLS) was implanted under cardiopulmonary resuscitation in order to achieve hemodynamic stabilization and rapid and safe rewarming. The patient's rewarming lasted 6 hours. The patient was extubated the next day. Keywords: Hypothermia, Resuscitation, ECMO, Cardiac arresthttp://www.sciencedirect.com/science/article/pii/S2213007118301527