accidental hypothermia accidental hypothermia
Conditions
Interventions
Intervention(s):
Intravascular catheter+Conventional rewarming group:
Rewarming therapy to 36 degrees using an intravascular catheter and the conventional rewarming method.
Conventional rewarming gro
Sponsors
Takauji Shuhei
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 65 years or older at the time of emergency transport 2. Core body temperature measured in the emergency room is less than 30 degrees Celsius and patients diagnosed with accidental hypothermia having preserved circulation 3. Informed consent obtained from the research participants or their representatives
Exclusion criteria
Exclusion criteria: 1. Patients with cardiac arrest at pre-hospital or on arrival at the hospital 2. Hospital transfer patient 3. Patients who cannot access a central venous catheter from the femoral vein 4. Patients who are unable to perform core body temperature monitoring due to trauma or other damage 5. Patients with hypersensitivity reactions to heparin 6. Patients with blood disorders worsened by hypothermia 7. Other patients who are judged to be inadequate as research participants by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the percentage of patients achieving a rewarming rate >=1.5 degrees/h in groups with and without intravascular catheter rewarming therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of groups with and without intravascular catheter rewarming therapy as follows: Rewarming rate of core body temperature to 36 degrees, percentage of core body temperature rewarming to 36 degrees achieved, rewarming rate from the start of intravascular catheter rewarming (rewarming rate from the start of conventional rewarming therapy), ventilator days, renal replacement therapy (RRT) days, catecholamine administration days, Length of stay at ICU, adverse event rates, Outcome and CPC at discharge. | — |
Contacts
Public ContactShuhei Takauji
Hokkaido University Hospital
Outcome results
None listed