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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية

    المساهمون: French Government « Programme Investissement d’Avenir » (I-SITE ULNE) managed by the Agence Nationale de la Recherche

    المصدر: Intensive Care Medicine ; volume 47, issue 2, page 188-198 ; ISSN 0342-4642 1432-1238

    مصطلحات موضوعية: Critical Care and Intensive Care Medicine

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    دورية أكاديمية

    المصدر: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine ; volume 28, issue 1 ; ISSN 1757-7241

    الوصف: Background Severe accidental hypothermia is associated with high morbidity and mortality. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) provides an efficient rewarming method with complete cardiopulmonary support. The use of VA-ECMO for this indication has greatly improved the vital and functional prognosis of patients. Case presentation We report a case of a 46-year-old patient who was treated for severe hypothermia with a temperature of 22.4 °C along with initial cardiac arrest, whose progression was favorable after the implementation of VA-ECMO support. Two months after initial cardiac arrest, the patient was reassessed and showed signs of complete recovery with regard to his mental and physical capacities. Conclusions The recent international publications and groups of experts recommend the use of VA ECMO as the gold standard therapy to treat severe hypothermia. Therefore, it seems suitable to update the current knowledge on the topic by analysing the latest international publications. The performance of this technique calls into question ethical and economic factors. Two distinct medical teams tried to identify and regroup prognosis factors in predictive survival scores. They raise the question of the utility of these scores in clinical practice. Indeed, according to which survival rate should we proceed to prolonged resuscitation and implement VA-ECMO? Additional studies will be needed for external approval of these survival scores, and additional reflection by experts will be required.