[en] one case of severe accidental hypothermia; rectal temperature was 25 degrees C. Hypoxemia unmodified by 100 O2 inhalation in an ordinary face-mask was easily corrected using a face-mask CPAP; a ventilation-perfusion mismatching could be implicated in the cold induced hypoxemia. Active rewarming (1.5 degrees C/h) was pursued from 25 to 37 degrees C, using non aggressive methods: warming blankets and a Bennett heated humidifier inserted in the CPAP system. Even in severe hypothermia successful results may be obtained without resort to sophisticated methods.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Canivet, Jean-Luc ; Centre Hospitalier Universitaire de Liège - CHU > Soins intensifs
Larbuisson, Robert ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Lamy, Maurice ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Language :
English
Title :
Interest of Face Mask--Cpap in One Case of Severe Accidental Hypothermia