Table 1 Characteristics and outcomes of the 13 patients in severe accidental hypothermia with cardiocirculatory instability
Sex: Male | 10 (77%) |
Age [years] | Me 60; IQR [56-66] |
Urban-type hypothermia | 13 (100%) |
Distance of transport [km] | Me 14, IQR [7-82] |
Type of Transport | |
HEMS | 2 (15%) |
Ambulance | 10 (77%) |
ECMO team to the patient | 1 (8%) |
Tc on admission [°C] | 25.8 ± 2.1 (20.7–29.0) |
HR on admission [min-1] | 53 ± 12.9 (40–80) |
SBP [mmHg] | Me 70 (50–80) |
DBP [mmHg] | Me 40 (30–60) |
Heart rhythm on admission | |
Sinus rhythm | 8 (62%) |
Atrial fibrillation | 2 (15%) |
Junctional rhythm | 3 (23%) |
Complications during ICU stay | |
Aspiration Pneumonia | 1 (8%) |
Lower Limb Ischemia | 3 (23%) |
Bleeding from Upper GI Tract | 3 (23%) |
Alcohol Withdrawal Syndrome | 4 (31%) |
Kidney Failure | 3 (23%) |
Cathecholamine use | |
Adrenaline | 4 (31%; mean dose 0.16 ug/kg/min) |
Noradrenaline | 9 (69%; mean dose 1.7 ug/kg/min) |
Dopamine | 2 (15%; mean dose 15 ug/kg/min) |
Dobutamine | 3 (23%; mean dose 16.7 ug/kg/min) |
More than 1 cathecholamine used | 5 (38%) |
Cathecholamine administration [days] | Me 2 IQR [1–7] |
Duration of mechanical ventilation [days] | Me 2 IQR [1,3–7,9] |
Duration of VA-ECMO [hours] | Me 23 IQR [19–32] |
Rate of rewarming [C/hrs.] | Me 1,8 IQR [1,5–3,0] |
Duration of stay in the ICU [days] | Me 3 IQR [2,0–9,0] |
LVEF on discharge [%] | 56 ± 8 (40–65) |
Survived | 9 (69%) |