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Göteborgs universitets publikationer

Excellent Outcome With Extracorporeal Membrane Oxygenation After Accidental Profound Hypothermia (13.8°C) and Drowning

Författare och institution:
Birgitta S Romlin (-); H Winberg (-); Magnus Janson (-); Boris Nilsson (-); Kerstin Björk (-); Anders Jeppsson (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Gunilla Drake (-); Andreas Claesson (-)
Publicerad i:
Critical Care Medicine, 43 ( 11 ) s. E521-E525
ISSN:
0090-3493
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2015
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
Objective: To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning. Data Sources and Extraction: Patient records and interviews with search-and-rescue personnel. Study Selection: Case report. Data Synthesis: The girl was rescued after an estimated submersion time of at least 83 minutes in icy sea water. She presented with cardiac arrest, ice in her upper airways, a first-documented nasopharyngeal temperature of 13.8 degrees C, and a serum potassium of 11.3 mmol/L. The patient was slowly rewarmed with extracorporeal membrane oxygenation and made an exceptional recovery after intensive care and a long rehabilitation time. Conclusion: Excellent outcome is possible in children with body temperature and serum potassium reaching the far limits of previously reported human survival and prolonged submersion time.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin
Nyckelord:
drowning, extracorporeal membrane oxygenation, hypothermia, pediatric
Postens nummer:
224895
Posten skapad:
2015-10-27 14:03
Posten ändrad:
2016-05-03 10:51

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