Yvonnick Boue1, Julien Lavolaine, Pierre Bouzat, Sophie Matraxia, Olivier Chavanon, Jean-François Payen. 1. 1Pole Anesthésie-Réanimation, Hôpital Michallon, Grenoble, France. 2Grenoble Institut des Neurosciences, Université Joseph Fourier, Grenoble, France. 3INSERM, U836, Grenoble, France. 4Service Urgences-SMUR, Centre Hospitalier Albertville Moutiers, Moutiers, France. 5Service de Chirurgie Cardiaque, Hôpital Michallon, Grenoble, France.
Abstract
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.
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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