TY  - JOUR
PY  - 2020//
TI  - Induced hypothermia to 4.2°C with neurologically intact survival: a forgotten case series
JO  - Wilderness and environmental medicine
A1  - Zafren, Ken
A1  - Paal, Peter
A1  - Brugger, Hermann
A1  - Lechner, Raimund
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - The lowest recorded core temperature from which a person with accidental hypothermia has survived neurologically intact is 11.8°C in a 2-y-old boy. The lowest recorded temperature from which an adult has been resuscitated neurologically intact is 13.7°C in a 29-y-old woman. The lowest core temperature with survival from induced hypothermia has been quoted as 9°C. We discovered a case series (n=50) from 1961 in which 5 patients with core temperatures below 11.8°C survived neurologically intact. The lowest core temperature in this group was 4.2°C. The authors also presented cardiovascular and other physiologic data at various core temperatures. The patients in the case series showed a wide variation in individual physiological responses to hypothermia. It is not known whether survival from accidental hypothermia is possible with a core temperature below 11.8°C, but this case series suggests that the lower limit for successful resuscitation may be far lower. We advise against using core temperature alone to decide whether a hypothermic patient in cardiac arrest has a chance of survival.<p />  <p>Language: en</p>
LA  - en
SN  - 1080-6032
UR  - http://dx.doi.org/10.1016/j.wem.2020.02.003
ID  - ref1
ER  -