Document Detail

Hypothermia with profound anemia and pancreatitis.
MedLine Citation:
PMID:  16538943     Owner:  NLM     Status:  MEDLINE    
A patient with severe hypothermia presented with an initial rectal temperature of 28.3 degrees C coupled with a hemoglobin of 2.2 g x dL(-1) and acute pancreatitis. Although hypothermia decreases oxygen and substrate consumption by tissues and can be cerebro-protective, the ideal rewarming strategy is unclear when the oxygen-delivery system is profoundly deficient, as with severe anemia. In this patient, truncal active external rewarming with a forced-air system, heated inhalation, and slow warmed transfusion yielded a 1.5 degrees C x h(-1) rate of rewarming and a good outcome. We discuss the numerous protective and detrimental factors affecting oxygenation and ventilation during hypothermia coupled with profound anemia and the possible etiologic explanations for coexistent hypothermia and pancreatitis.
Aaron M Collins; Daniel F Danzl
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Wilderness & environmental medicine     Volume:  17     ISSN:  1080-6032     ISO Abbreviation:  Wilderness Environ Med     Publication Date:  2006  
Date Detail:
Created Date:  2006-03-16     Completed Date:  2006-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505185     Medline TA:  Wilderness Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-5     Citation Subset:  IM    
Department of Emergency Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA.
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MeSH Terms
Anemia / complications*
Hypothermia / therapy*
Middle Aged
Oxygen / metabolism
Pancreatitis / complications*
Rewarming / methods*
Treatment Outcome
Reg. No./Substance:

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