Jarosz Anna, Kosiński Sylweriusz, Darocha Tomasz, Sanak Tomasz, Podsiadło Paweł, Drwiła Rafał, Gałązkowski Robert
Oddział Anestezjologii i Intensywnej Terapii, Krakowski Szpital Specjalistyczny Im. Jana Pawła II, Krakow, Polska.
Oddział Anestezjologii i Intensywnej Terapii Szpital Specjalistyczny Chorob Płuc Im. O. Sokołowskiego, Tatrzańskie Ochotnicze Pogotowie Ratunkowe, Zakopane, Polska.
Wiad Lek. 2017;70(2 pt 2):415-420.
Application of appropriate method of rewarming is the key issue in the management of hypothermia. Severely hypothermic, life-threatened patients require advanced extracorporeal rewarming. Such procedure is not free of possible complications, yet, if the qualification for extracorporeal rewarming is correct, it guarantees restoration of hemodynamic stability, and what is the most important, leads to full neurologic recovery, even with long resuscitation times.
The summary of complications observed during extracorporeal rewarming with ECMO in severely hypothermic patients and analysis of their prevalence in managed group. Presentation of possible etiology and means of prevention of anticipated complications and suggested strategies of their treatment.
Retrospective analysis of medical records of all 33 patients with severe accidental hypothermia, accepted for extracorporeal rewarming with venoarterial ECMO.
Based on reviewed medical records of severely hypothermic patients subjected to extracorporeal rewarming it was possible to identify these complications of management, that are hypothermia related, and which are not to be seen in patients treated with ECMO for other reasons.
应用合适的复温方法是低温治疗的关键问题。严重低温且危及生命的患者需要先进的体外复温。这种 procedure 并非没有可能的并发症，然而，如果体外复温的指征正确，它能保证恢复血流动力学稳定性，并且最重要的是，即使复苏时间长，也能实现完全的神经功能恢复。
总结严重低温患者体外膜肺氧合（ECMO）复温过程中观察到的并发症，并分析其在治疗组中的发生率。阐述预期并发症的可能病因和预防方法以及建议的治疗策略。
对所有 33 例接受静脉 - 动脉 ECMO 体外复温的严重意外低温患者的病历进行回顾性分析。
基于对接受体外复温的严重低温患者的病历回顾，有可能识别出与低温相关的治疗并发症，而这些并发症在因其他原因接受 ECMO 治疗的患者中未见。
