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Surgical strategy for intracranial hemorrhage with accidental hypothermia in elderly individuals.

Yoshimi ShinoharaRyo MiyaokaJunkoh Yamamoto
Published in: Surgical neurology international (2024)
Accidental hypothermia poses a significant threat to elderly individuals, carrying a substantial mortality risk and demanding intensive general care. During rewarming, careful considerations must be devoted to potential complications, such as ventricular fibrillation, rewarming shock, bleeding diathesis, and hyperkalemia. Despite these risks, many life-threatening cases necessitate emergency surgery and rewarming procedures in parallel. The formulation of a surgical strategy aimed at mitigating rewarming-related complications should be entrusted to anesthesiologists. Strict follow-up is required to increase intracranial pressure when prioritizing intensive care over surgery.
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