Abstract
Extracorporeal life support is the gold standard in the treatment of hypothermic cardiorespiratory arrest. For many years cardiopulmonary bypass was used for rewarming and circulatory support in arrested hypothermic patients, sometimes followed by extracorporeal membrane oxygenation (ECMO) because of the inability to wean patients from bypass due to intractable cardiorespiratory failure. In recent years, ECMO has been increasingly used as the initial therapeutic approach in these patients, often together with percutaneous cannulation techniques and implantation in the emergency department. Because of the low complication rate and the good outcome of extracorporeal life support with ECMO, more liberal use of ECMO also in non-arrested, profoundly hypothermic patients may be warranted. Prolonged extracorporeal support is possible with ECMO and may improve outcome, thanks to its lower rate of mortality from acute respiratory failure early after rewarming.
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Mair, P., Ruttmann, E. (2014). ECMO for Severe Accidental Hypothermia. In: Sangalli, F., Patroniti, N., Pesenti, A. (eds) ECMO-Extracorporeal Life Support in Adults. Springer, Milano. https://doi.org/10.1007/978-88-470-5427-1_14
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DOI: https://doi.org/10.1007/978-88-470-5427-1_14
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