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Erschienen in: Wiener klinische Wochenschrift 1-2/2014

01.01.2014 | case report

Therapeutic peritoneal lavage with warm saline solution as an option for a critical hypothermic trauma patient

verfasst von: Thomas Freude, Sonja Gillen, Sabrina Ehnert, Andreas Nüssler, Ulrich Stöckle, Natascha Charalambakis, Stefan Döbele, MD, Stefan Pscherer

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 1-2/2014

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Summary

Introduction

In this paper, we present the case of a 63-year-old woman, who was found in her flat lying unconscious on the floor for an unknown time. At the time of admission, her core temperature was 24 °C and ventricular fibrillation was detected on the electrocardiogram (ECG). Because of the unstable conditions, the persistent nonperfusing cardiac rhythm and the dramatically inhibited coagulation cascade, a peritoneal lavage connected to a rapid infuser was performed for rewarming, instead of using a transportable heart–lung machine and a haemodialysis device. After a prolonged cardiopulmonary resuscitation (CPR), the patient could be transferred to the intensive care unit (ICU) in a stable condition. After 40 days in the ICU, recovery was fast, and another month of treatment later, she could be discharged back home without any discomfort.

Conclusion

This report illustrates the successful use of the peritoneal lavage for rewarming a severely hypothermic patient without any extracorporeal rewarming device. Furthermore, it can be used in nearly every hospital if the necessary equipment is affordable. It is demonstrated that this technique is able to provide good outcomes for all victims of accidental hypothermia.
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Metadaten
Titel
Therapeutic peritoneal lavage with warm saline solution as an option for a critical hypothermic trauma patient
verfasst von
Thomas Freude
Sonja Gillen
Sabrina Ehnert
Andreas Nüssler
Ulrich Stöckle
Natascha Charalambakis
Stefan Döbele, MD
Stefan Pscherer
Publikationsdatum
01.01.2014
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 1-2/2014
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-013-0457-5

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