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Successful Transcutaneous Pacing in 2 Severely Hypothermic Patients
- Source :
- Annals of Emergency Medicine. 49:678-681
- Publication Year :
- 2007
- Publisher :
- Elsevier BV, 2007.
-
Abstract
- The clinical condition of profound hypothermia is well described in the medical literature. There have been many case reports and studies describing successful aspects of caring for this problem. Significant bradycardia is a known pathophysiologic consequence of profound hypothermia. Transcutaneous pacing for this condition is not a routine or recommended practice in the literature. This case report details 2 patients with profound hypothermia and resultant bradycardia with hypotension. In both cases, transcutaneous pacing was successfully applied and used as part of the resuscitation. In both cases, transcutaneous pacing was required to maintain an adequate blood pressure so that continuous arteriovenous rewarming could be used during the resuscitation. Both cases had successful outcomes, and the rewarming process was greatly assisted by the pacing procedure.
- Subjects :
- Aged, 80 and over
Male
Bradycardia
Resuscitation
Cardiac pacing
business.industry
Transcutaneous pacing
Treatment outcome
Cardiac Pacing, Artificial
Hypothermia
Middle Aged
Cardiopulmonary Resuscitation
Treatment Outcome
Blood pressure
Anesthesia
Intensive care
Emergency Medicine
medicine
Humans
Female
Profound hypothermia
Rewarming
medicine.symptom
business
Subjects
Details
- ISSN :
- 01960644
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Annals of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....80b9da06a670a13915a699d85bbc3e15