Hemodialysis as a treatment of severe accidental hypothermia.

Raymond Vanholder, Annemieke Dhondt, Rogier Caluwé

Journal: Artificial organs 2010;34(3):237-9

PMID: 20665964

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Abstract

We describe a case of severe accidental hypothermia (core body temperature 23.2 degrees C) successfully treated with hemodialysis in a diabetic patient with preexisting renal insufficiency. Consensus exists about cardiopulmonary bypass as the treatment of choice in cases of severe accidental hypothermia with cardiac arrest. Prospective randomized controlled trials comparing the different rewarming modalities for hemodynamically stable patients with hypothermia, however, are lacking. In our opinion, the choice of a rewarming technique should be patient tailored, knowing that hemodialysis is an efficient, minimally invasive, and readily available technique with the advantage of providing electrolyte support.

Address: Renal Division, Department of Internal Medicine, University Hospital, Ghent, Belgium. [email protected]

DOI: 10.1111/j.1525-1594.2009.00837.x

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MeSH Terms: Aged, Atrioventricular Block, Body Temperature, Coma, Diabetes Mellitus, Type 2, Glasgow Coma Scale, Heart Rate, Humans, Hypoglycemia, Hypothermia, Male, Renal Dialysis, Rewarming, Treatment Outcome