Interest of face mask--CPAP in one case of severe accidental hypothermia

Acta Anaesthesiol Belg. 1989;40(4):281-3.


We report one case of severe accidental hypothermia; rectal temperature was 25 degrees C. Hypoxemia unmodified by 100 O2 inhalation in an ordinary face-mask was easily corrected using a face-mask CPAP; a ventilation-perfusion mismatching could be implicated in the cold induced hypoxemia. Active rewarming (1.5 degrees C/h) was pursued from 25 to 37 degrees C, using non aggressive methods: warming blankets and a Bennett heated humidifier inserted in the CPAP system. Even in severe hypothermia successful results may be obtained without resort to sophisticated methods.

Publication types

  • Case Reports

MeSH terms

  • Acidosis, Lactic / etiology
  • Acidosis, Lactic / therapy
  • Alcoholic Intoxication / complications
  • Humans
  • Hypothermia / complications
  • Hypothermia / therapy*
  • Male
  • Middle Aged
  • Positive-Pressure Respiration / methods*