Use of an intravascular temperature control catheter for rewarming of hypothermic trauma patients with ongoing hemorrhagic shock after combined damage control thoracotomy and laparotomy: A case series

Injury
Byron C DrumhellerThomas M Scalea

Abstract

Correction of hypothermia is a key component of the resuscitation of critically injured patients with hemorrhagic shock who require damage control surgery. External rewarming methods may not be sufficient in this population, while extracorporeal techniques lack widespread feasibility. Intravascular catheter-based temperature modulation is increasingly being employed in different critically ill patient populations but has not been described as part of a damage control resuscitation strategy in trauma patients. We retrospectively reviewed the medical records of all patients admitted to our multi-trauma intensive care unit from July 1, 2015 - December 31, 2017 in whom an intravascular temperature control catheter (IVTCC) was employed for rewarming from hypothermia during the immediate postoperative resuscitation of continued hemorrhage after undergoing combined damage control thoracotomy and laparotomy for trauma. All patients received baseline treatment with active external rewarming modalities and inline fluid/blood warmers. Core temperature values over the first 24 h of hospital admission were analyzed. Efficacy (rewarming rate) and safety (associated adverse events) of the IVTCC system were determined. Three patients (age 22 ±...Continue Reading

Citations

Aug 28, 2019·Therapeutic Hypothermia and Temperature Management·Michael KurzByron Drumheller
Jan 3, 2021·Injury·Anthony DouglasAshley D Meagher

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