ACCIDENTAL SEVERE HYPOTHERMIA AND CRANIOC EREBRAL TRAUMA - RESUSCITATION, ANESTHESIOLOGICAL MANAGEMENT AND NEUROSURGICAL INTERVENTION CEREBRAL PROTECTION THROUGH HYPOTHERMIA

We report on a 66-gear-old patient with severe hypothermia (interior b ody temperature 24,2 degrees C) who suffered from a severe cranio-cere bral trauma and breathing associated with unconsciousness of several h ours duration. After repeated resuscitations and continuous pre-, intr a- and postoperative control and therapy of the vital functions we suc ceeded in rewarming the patient by surface-rewarming, while there were absolute contraindications for rewarming the patient by using the hea rt-lung machine. The patient recovered very well. There was no neurolo gical deficit caused by trauma or hypothermia. The combination of hypo thermia and cranio-cerebral trauma is a very rare clinical picture in our region.