TY - JOUR
T1 - Neurologic recovery from profound accidental hypothermia after 5 hours of cardiopulmonary resuscitation
AU - Boue, Yvonnick
AU - Lavolaine, Julien
AU - Bouzat, Pierre
AU - Matraxia, Sophie
AU - Chavanon, Olivier
AU - Payen, Jean François
PY - 2014/2
Y1 - 2014/2
N2 - OBJECTIVE:: To describe the successful neurologic recovery from profound accidental hypothermia with cardiac arrest despite the longest reported duration of cardiopulmonary resuscitation. DESIGN:: Case report. SETTING:: Mountain. PATIENT:: A 57-year-old woman experienced profound accidental hypothermia (16.9 C) in a mountainous region of Grenoble. She was unconscious and had extreme bradycardia (6 beats/min) at presentation. A cardiac arrest occurred at the mobilization that was not responsive to electrical shocks or epinephrine. INTERVENTION:: Cardiopulmonary resuscitation was continued for 307 minutes after rescue until venoarterial extracorporeal membrane oxygenation blood flow had been established at the emergency department. MEASUREMENTS AND MAIN RESULTS:: At a 3-month follow-up, the patient showed good physical and mental recovery. CONCLUSION:: With no evidence of trauma or asphyxia, profound accidental hypothermia with cardiac arrest represents a specific condition for which successful neurologic recovery is feasible despite prolonged cardiopulmonary resuscitation.
AB - OBJECTIVE:: To describe the successful neurologic recovery from profound accidental hypothermia with cardiac arrest despite the longest reported duration of cardiopulmonary resuscitation. DESIGN:: Case report. SETTING:: Mountain. PATIENT:: A 57-year-old woman experienced profound accidental hypothermia (16.9 C) in a mountainous region of Grenoble. She was unconscious and had extreme bradycardia (6 beats/min) at presentation. A cardiac arrest occurred at the mobilization that was not responsive to electrical shocks or epinephrine. INTERVENTION:: Cardiopulmonary resuscitation was continued for 307 minutes after rescue until venoarterial extracorporeal membrane oxygenation blood flow had been established at the emergency department. MEASUREMENTS AND MAIN RESULTS:: At a 3-month follow-up, the patient showed good physical and mental recovery. CONCLUSION:: With no evidence of trauma or asphyxia, profound accidental hypothermia with cardiac arrest represents a specific condition for which successful neurologic recovery is feasible despite prolonged cardiopulmonary resuscitation.
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U2 - 10.1097/CCM.0b013e3182a643bc
DO - 10.1097/CCM.0b013e3182a643bc
M3 - Article
C2 - 24158171
AN - SCOPUS:84895068891
SN - 0090-3493
VL - 42
SP - e167-e170
JO - Critical care medicine
JF - Critical care medicine
IS - 2
ER -