• Jean-François Payen, Olivier Chavanon, Yvonnick Boue, and Sophie Matraxia.
• 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.
• Crit. Care Med.. 2014 Feb 1;42(2):e167-70.

ObjectiveTo describe the successful neurologic recovery from profound accidental hypothermia with cardiac arrest despite the longest reported duration of cardiopulmonary resuscitation.DesignCase report.SettingMountain.PatientA 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.InterventionCardiopulmonary 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 ResultsAt a 3-month follow-up, the patient showed good physical and mental recovery.ConclusionWith 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.

14 keywords...

hide…