Two Cases of Hyperthermia Successfully Treated with Extracorporeal Circulation

Accession number;05A0468419
Title;Two Cases of Hyperthermia Successfully Treated with Extracorporeal Circulation
Author; NAITO HIROMICHI (Hiroshimashihiroshimashiminbyoin Masuishuchuchiryoka) NAITO HIROSHI (Hiroshimashihiroshimashiminbyoin Masuishuchuchiryoka) TADA KEIICHI (Hiroshimashihiroshimashiminbyoin Masuishuchuchiryoka)
Journal Title;Japanese Journal of Intensive Care Medicine
Journal Code:Z0581B
ISSN:0389-1194
VOL.29;NO.3;PAGE.227-231(2005)
Figure&Table&Reference;FIG.5, REF.9
Pub. Country;Japan
Language;Japanese
Abstract;In a patient with hyperthermia, it is important to cool down the body temperature (BT) as quickly as possible. In two patients with hyperthermia, we used an extra-corporeal circulation to cool down the patient's BT. We inserted a double lumen catheter into the femoral vein, and connected it to an extension line for blood transfusion and a warmer coil. The warmer coil was then sunk in ice and water. A blood transfusion pump (flow rate 99ml/min) was used for extracorporeal circulation. In one patient with heat stroke, we could lower the patient's BT from 40.7.DEG.C. to 38.5.DEG.C. within 30 minutes (-0.073.DEG.C./min). In another patient with hyperthermia caused by drug intoxication, we could lower the patient's BT from 41.0.DEG.C. to 37.5.DEG.C. in 127 minutes (-0.028.DEG.C./min). This system was useful because we could set it up within 2-3 minutes without difficulty, and start cooling the patient immediately. (author abst.)