Titre
Successful Pre-Rewarming Resuscitation after Cardiac Arrest in Severe Hypothermia: A Retrospective Cohort Study from the International Hypothermia Registry.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Cools, E.
Auteure/Auteur
Meyer, M.
Auteure/Auteur
Courvoisier, D.
Auteure/Auteur
Walpoth, B.
Auteure/Auteur
Liens vers les unités
ISSN
1660-4601
Statut éditorial
Publié
Date de publication
2022-03-29
Volume
19
Numéro
7
Première page
4059
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
The aim of our study is to investigate successful pre-rewarming resuscitation after hypothermic cardiac arrest (HCA). The hypothermic heart may be insensitive to defibrillation when core temperature is below 30 °C and after successful defibrillation, sinus rhythm often returns into ventricular fibrillation. Recurrent defibrillation attempts may induce myocardial injury. Discrepancy exists concerning pre-rewarming defibrillation between the guidelines of the European Resuscitation Council and American Heart Association. The International Hypothermia Registry (IHR) gathers hypothermia cases. The primary outcome was survival. Secondary outcomes were the characteristics of defibrillation, the effect of Adrenaline administration under 30 °C, and the duration of CPR. Of the 239 patients, eighty-eight were in cardiac arrest at arrival of the rescue team. Successful pre-rewarming resuscitation was obtained in 14 patients. The outcome showed: seven deaths, one vegetative state, two patients with reversible damage, and four patients with full recovery. A total of five patients had a shockable rhythm, and defibrillation was successful in four patients. The response rate to Adrenaline was reported as normal in six patients. There were no statistically significant differences in the presence of a shockable rhythm, the success of defibrillation, and the effect on Adrenaline administration between the survivors and non-survivors. Successful resuscitation in severe hypothermia is possible before active rewarming and arrival in the hospital, thus improving the chance of survival.
PID Serval
serval:BIB_5B103DD0845E
PMID
Open Access
Oui
Date de création
2022-04-19T12:27:17.205Z
Date de création dans IRIS
2025-05-20T13:42:25Z
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Nom
35409749_BIB_5B103DD0845E.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
546.62 KB
Format
Adobe PDF
PID Serval
serval:BIB_5B103DD0845E.P001
URN
urn:nbn:ch:serval-BIB_5B103DD0845E3
Somme de contrôle
(MD5):67c9258b2818649d980b3a7388354a48