Hypothermia is a heterogeneous topic. At one end of the spectrum are previously healthy people who suffer from cold exposure (for whom the rewarming is the primary focus of therapy). At the other end of the spectrum are patients with mild secondary hypothermia (e.g. due to sepsis), for whom the primary focus is investigation and treatment of the underlying problem. And finally, some patients lie in the middle – requiring both aggressive rewarming measures and simultaneous diagnosis/therapy for underlying problems. This chapter attempts to outline the principles used to manage all of these patients, with the caveat that these concepts will need to be adapted to the patient in front of you.
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The IBCC chapter is located here.
- The podcast & comments are below.
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- PulmCrit – Introducing the IBPH (Internet Book of Hospital Pulmonology) - September 3, 2023
- PulmCrit: “ARDS” is not a real thing - May 27, 2023
- IBCC – ABG, VBG, and pulse oximetry - April 27, 2023
Great post/cast as usual guys! I’m an anesthesiologist and cardiothoracic intensivist, wanted to leave a quick comment about core after-drop (post-warming vasodilation and rebound hypothermia). I think you hit the nail on the head: this is absolutely a thing in my world – most commonly in patients with post-CPB vasoplegia or some other form of distributive shock – but clinically not extremely relevant, as the treatment is pressors to support SVR and more warming. When it does happen, the warming period is prolonged and a bit of a roller coaster, but just keep warming until you achieve normothermia and support… Read more »
Many thanks!! And thanks for the great peer review! Helps us keep the IBCC posts & cast top notch.