Rewarming Methods in Hypothermia • Passive rewarming - Requires adequate patient physiologic mechanisms. Inadequate for more than mild hypothermia • Active external rewarming + IV fluids - Key method • Bladder lavage - Low benefit, low risk. Consider if slow to warm • Gastric lavage - Risks usually outweigh benefits • Peritoneal lavage - Risks usually outweigh benefits • Thoracic lavage - Risks usually outweigh benefits. Consider in cardiac arrest without access to CPB or ECMO • Dialysis - Uncommon in practice, requires spontaneous circulation • VV-ECMO - Uncommon in practice, requires spontaneous circulation • Cardiopulmonary bypass or VA-ECMO - Ideal method for cardiac arrest #Rewarming #Methods #Hypothermia #management #treatment #ebm
