Prolonged resuscitation in acute deep hypothermia.
A case report is described with successful outcome of prolonged cardiopulmonary resuscitation in a 30-year-old man suffering from acute deep hypothermia. His lowest temperature recorded was 23 degrees C. Continuous external cardiac massage was required for a total of 4.5 h whilst rewarming was instituted. The patient eventually left hospital with no permanent sequelae. A review of hypothermia follows, emphasising some important management principals and pitfalls.
Stoneham
M D
MD
Department of Anaesthetics, Royal Naval Hospital, Plymouth.
Squires
S J
SJ
D000208:Acute Disease; D000328:Adult; D006336:Heart Massage; D006358:Hot Temperature / Q000627:therapeutic use; D006801:Humans; D007035:Hypothermia / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D007385:Intermittent Positive-Pressure Ventilation; D008297:Male; D012151:Resuscitation / Q000379:methods*; D013997:Time Factors