Resuscitation for moribund alpinists stranded at high altitudes: A stepwise approach including ECMO as a last resort strategy

Artificial OrgansVolume 46, Issue 8 p. 1459-1462 EDITORIAL Resuscitation for moribund alpinists stranded at high altitudes: A stepwise approach including ECMO as a last resort strategy Fabrizio Follis, Corresponding Author Fabrizio Follis [email protected] orcid.org/0000-0002-8715-1631 Department of Cardiac Surgery, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, Italy Correspondence Fabrizio Follis, Department of Cardiac Surgery, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, Italy. Email: [email protected]Search for more papers by this authorGennaro Martucci, Gennaro Martucci orcid.org/0000-0001-8443-2414 Department of Anesthesia and Intensive Care, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, ItalySearch for more papers by this authorAntonio Arcadipane, Antonio Arcadipane Department of Anesthesia and Intensive Care, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, ItalySearch for more papers by this authorMarco Follis, Marco Follis Department of Cardiac Surgery, Klinikum, Braunschweig, GermanySearch for more papers by this authorBijoy Rajbanshi, Bijoy Rajbanshi Department of Cardiac Surgery, Nepal Mediciti Hospital, Kathmandu, NepalSearch for more papers by this authorRoberto Lorusso, Roberto Lorusso Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The NetherlandsSearch for more papers by this author Fabrizio Follis, Corresponding Author Fabrizio Follis [email protected] orcid.org/0000-0002-8715-1631 Department of Cardiac Surgery, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, Italy Correspondence Fabrizio Follis, Department of Cardiac Surgery, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, Italy. Email: [email protected]Search for more papers by this authorGennaro Martucci, Gennaro Martucci orcid.org/0000-0001-8443-2414 Department of Anesthesia and Intensive Care, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, ItalySearch for more papers by this authorAntonio Arcadipane, Antonio Arcadipane Department of Anesthesia and Intensive Care, Istituto di Ricerca e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), Palermo, ItalySearch for more papers by this authorMarco Follis, Marco Follis Department of Cardiac Surgery, Klinikum, Braunschweig, GermanySearch for more papers by this authorBijoy Rajbanshi, Bijoy Rajbanshi Department of Cardiac Surgery, Nepal Mediciti Hospital, Kathmandu, NepalSearch for more papers by this authorRoberto Lorusso, Roberto Lorusso Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The NetherlandsSearch for more papers by this author First published: 29 May 2022 https://doi.org/10.1111/aor.14320Citations: 1Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL REFERENCES 1Luks AM, Hackett PH. Medical conditions and high-altitude travel. N Engl J Med. 2022; 386: 364– 73. https://doi.org/10.1056/NEJMra2104829 2Willmann G, Gekeler F, Schommer K, Bartsch P. Update on high altitude cerebral edema including recent work on the eye. High Alt Med Biol. 2014; 15: 112– 22. 3Luks AM, Auerbach PS, Freer L, Grissom CK, Keyes LE, McIntosh SE, et al. Wilderness medical society clinical practice guidelines for the prevention and treatment of acute altitude illness: 2019 update. Wilderness Environ Med. 2019; 30(4S): S3– 18. 4Némethy M, Pressman AB, Freer L, McIntosh SE. Mt Everest Base Camp Medical Clinic “Everest ER”: epidemiology of medical events during the first 10 years of operation. Wilderness Environ Med. 2015; 26: 4– 10. 5Musi M, Sheetz A, Zafren K, Brugger H, Paal P, Holzl N, et al. Clinical staging of accidental hypothermia: the revised swiss system recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Resuscitation. 2021; 162: 182– 7. 6Swol J, Darocha T, Paal P, Brugger H, Podsiadlo P, Kosinski S, et al. Extracorporeal life support in accidental hypothermia with cardiac arrest-a narrative review. ASAIO J. 2022; 68(2): 153– 62. 7Pasquier M, Hugli O, Paal P, Darocha T, Blancher M, Husby P, et al. The HOPE score. Resuscitation. 2018 May; 126: 58– 64. https://doi.org/10.1016/j.resuscitation.2018.02.026 8Paal P, Pasquier M, Darocha T, Lechner R, Kosinski S, Wallner B, et al. Accidental hypothermia: 2021 update. Int J Environ Res Public Health. 2022 Jan 3; 19(1):501. https://doi.org/10.3390/ijerph19010501 9Sharma A, Sharma A, Acharya A, Aryal D, Rajbanshi BG, Bhattarai PR, et al. Extracorporeal membrane oxygenation in aluminum phosphide poisoning in Nepal: a case report. J Med Case Rep. 2018; 12:311. 10Chiarini G, Cho SM, Whitman G, Rasulo F, Lorusso R. Brain injury in extracorporeal membrane oxygenation: a multidisciplinary approach. Semin Neurol. 2021; 41: 422– 36. Citing Literature Volume46, Issue8August 2022Pages 1459-1462 ReferencesRelatedInformation