• Ann Fr Anesth Reanim · Jun 2008

    Case Reports

    [Resuscitation after three hours of cardiac arrest with severe hypothermia following a toxic coma].

    • T Gillart, S Loiseau, K Azarnoush, D Gonzalez, and D Guelon.
    • Département d'anesthésie-réanimation, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, B.P. 69, 63003 Clermont-Ferrand, France. tgillart@chu-clermont-ferrand.fr
    • Ann Fr Anesth Reanim. 2008 Jun 1;27(6):510-3.

    AbstractWe report the case of a 37-year-old woman who survived from severe hypothermia (rectal temperature: 22 degrees C) and prolonged cardiac arrest with asystole after benzodiazepine and tricyclic antidepressant poisoning. Basic-cardiopulmonary resuscitation and mechanical ventilation was started by a French Mobile Intensive-Care unit. Spontaneous circulation was restored at 25 degrees C under epinephrin after three hours of chest compression from home to the intensive-care unit and rewarming with extracorporeal circulation. The patient was discharged at day 13 without any neurological deficit. The discussion focuses on the benefit of extracorporeal-membrane oxygenation (ECMO) as extracorporeal circulation device through femoral access, the differential diagnosis between death and recoverable cardiac arrest and neuroprotection.

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