Open AccessVeno-Venous Extracorporeal Rewarming Using Dual-Lumen Cannula in Accidental Hypothermia
Author(s) -
Jennifer A Denk,
Eriberto Michel,
Aaron J Clark,
Duc Thinh Pham,
Christopher K. Mehta
Publication year - 2021
Publication title -
asaio journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/mat.0000000000001424
Subject(s) - extracorporeal membrane oxygenation , medicine , extracorporeal , cannula , anesthesia , accidental , cardiopulmonary bypass , lumen (anatomy) , accidental hypothermia , life support , extracorporeal circulation , hypothermia , hemodynamics , surgery , intensive care medicine , physics , acoustics
Accidental hypothermia with a core temperature below 28°C is associated with an increased risk of hemodynamic instability. It is difficult to predict which patients will survive with a favorable neurologic outcome; therefore, decision-making regarding extracorporeal support is not straightforward. We report a case of rewarming using veno-venous dual-lumen cannula as an alternative to veno-arterial support with full recovery and normal neurologic examination. In centers where extracorporeal membrane oxygenation is available, rewarming using veno-venous dual-lumen extracorporeal support may be a useful strategy to mitigate the risks associated with veno-arterial extracorporeal support.