The journal of extra-corporeal technology · 2011
Hypothermic cardiac arrest in the homeless: what can we do?
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sansone Fabrizio, Flocco Roberto, Zingarelli Edoardo, Dato Guglielmo Mario Actis, Punta Giuseppe, Parisi Francesco, Forsennati Pier Giuseppe, Bardi Gian Luca, Imbastaro Iulia, Chiolero Claudia, Balossino Adalberto, Borin Paolo, Peretto Viviana, del Ponte Stefano, Casabona Riccardo
Аннотация
Accidental deep hypothermia with body temperature < 28 degrees C induces high mortality rates for neurological and cardiac complications. Although several reports described successful treatment of hypothermic arrest by extracorporeal membrane oxygenation (ECMO), the field of warming in the homeless is almost completely unquestioned although the malnutrition and the co-morbidities are usually believed as relevant risk factors for poor outcome. This article describes the experience of successful warming by ECMO in two homeless victims of unwitnessed cardiac arrest, who survived without neurological or cardiac complications. In conclusion, this is an initial experience and further research is required, although our results are appreciable in this high risk subset of population.