Accidental hypothermia with cardiac arrest: Complete recovery after prolonged resuscitation and rewarming by extracorporeal circulation

1990 ◽  
Vol 16 (1) ◽  
pp. 69-72 ◽  
Author(s):  
P. Husby ◽  
K. S. Andersen ◽  
A. Owen-Falkenberg ◽  
E. Steien ◽  
J. Solheim
Keyword(s):  
Cardiac Arrest ◽  
Extracorporeal Circulation ◽  
Complete Recovery ◽  
Accidental Hypothermia

scholarly journals ACCIDENTAL DEEP HYPOTHERMIA WITH CARDIAC ARREST. PROMPT COMPLETE RECOVERY AFTER REWARMING BY EXTRACORPOREAL CIRCULATION. CASE REPORT

2007 ◽  
Vol 151 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Martin Simek ◽  
Roman Hajek ◽  
Vilem Bruk ◽  
Karolina Fabikova ◽  
Petr Nemec ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Extracorporeal Circulation ◽  
Complete Recovery ◽  
Deep Hypothermia

Accidental hypothermia with cardiac arrest: Complete recovery after prolonged resuscitation

Resuscitation ◽  
1992 ◽  
Vol 24 (2) ◽  
pp. 188
Author(s):  
B. Aykaç ◽  
A. Ekinci ◽  
V. Baykal ◽  
P. Bozkurt ◽  
H. Erolcay
Keyword(s):  
Cardiac Arrest ◽  
Complete Recovery ◽  
Accidental Hypothermia

Abstract 199: Pulmonary Embolism and Accidental Hypothermia Have a Favorable Outcome in Cardiac Arrest With PEA Treated by ECPR

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Shinichi Ijuin ◽  
Akihiko Inoue ◽  
Nobuaki Igarashi ◽  
Shigenari Matsuyama ◽  
Tetsunori Kawase ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Cardiac Arrest ◽  
Neurological Outcome ◽  
Cerebral Performance Category ◽  
Accidental Hypothermia ◽  
Neurological Outcomes ◽  
Good Outcome ◽  
Group B ◽  
Favorable Neurological Outcome ◽  
Hospital Cardiac Arrest

Introduction: We have reported previously a favorable neurological outcome by extracorporeal cardiopulmonary resuscitation (ECPR) for out of hospital cardiac arrest. However, effects of ECPR on patients with prolonged pulseless electrical activity (PEA) are unclear. We analyzed etiology of patients with favorable neurological outcomes after ECPR for PEA with witness. Methods: In this single center retrospective study, from January 2007 to May 2018, we identified 68 patients who underwent ECPR for PEA with witness. Of these, 13 patients (19%) had good neurological outcome at 1 month (Glasgow-Pittsburgh Cerebral Performance Category (CPC):1-2, Group G), and 55 patients (81%) had unfavorable neurological outcome (CPC:3-5, Group B). We compared courses of treatment and causes/places of arrests between two groups. Results are expressed as mean ± SD. Results: Patient characteristics were not different between the two groups. Time intervals from collapse to induction of V-A ECMO were also not significantly different (Group G; 46.1 ± 20.2 min vs Group B; 46.8 ± 21.7 min, p=0.92). Ten patients achieved favorable neurological outcome among 39 (26%) with non-cardiac etiology. In cardiac etiology, only 3 of 29 patients (9%) had a good outcome at 1 month (p=0.08). In particular, 5 patients of 10 pulmonary embolism, and 4 of 4 accidental hypothermia responded well to ECPR with a favorable neurological outcome. Additionally, 6 of 13 (46%), who had in hospital cardiac arrest, had good outcome, whereas 7 of 55 (15%) who had out of hospital cardiac arrest, had good outcome (p=0.02). Conclusions: In our small cohort of cardiac arrest patients with pulmonary embolism or accidental hypothermia and PEA with witness, EPCR contributed to favorable neurological outcomes at 1 month.

Comment on: Cardiac Arrest Secondary to Accidental Hypothermia: Who Should We Resuscitate?

2020 ◽  
Vol 39 (3) ◽  
pp. 156
Author(s):  
Mathieu Pasquier ◽  
Oliver Hugli ◽  
Adam-Scott Feiner ◽  
Tomasz Darocha
Keyword(s):  
Cardiac Arrest ◽  
Accidental Hypothermia
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