Extracorporeal rewarming and support in severe hypothermia with cardiac arrest: A return from death

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2021, Volume 29, Issue 4 : 182-184

Article

Extracorporeal rewarming and support in severe hypothermia with cardiac arrest: A return from death

Buijser M.

Geerts J.-W.

Bleeker G.

Akin S.

⁴

Deparment of Intensive Care, The Hague, Netherlands

Haga Teaching Hospital, The Hague, Netherlands

Department of Intensive Care, Hague Medical Center, The Hague, Netherlands

⁴

Department of Intensive Care, OLVG, Amsterdam, Netherlands

Abstract

Severe hypothermia leads to cardiac instability; however, it also has protective effects due to decreased metabolic activity. Therefore, prolonged resuscitation is advised in hypothermic cardiac arrest. We present a case of severe hypothermia without asphyxia, which is very important prognostically, leading to ventricular fibrillation. Conventional rewarming methods did not result in a higher body temperature. Extracorporeal circulation and rewarming was started after 210 minutes of conventional but adequate cardiopulmonary resuscitation. Good neurological recovery was observed after prolonged support on the intensive care unit. This case and other cases described in the literature should create awareness regarding the importance of prolonged resuscitation in hypothermic cardiac arrest. Extracorporeal rewarming and support could contribute to excellent recovery and therefore must be considered in similar cases. © 2021, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Cardiac arrest

CPR

ECMO

Hypothermia

Survival

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