Portable cardiopulmonary bypass: resuscitation from prolonged ice-water submersion and asystole.
Accidental hypothermia associated with near-drowning and cardiac arrest has a high mortality, especially in the adult. We report the resuscitation of a 31-year-old man who suffered extended ice-water submersion, severe hypothermia (23 degrees C), and prolonged (> or = 78 minutes) cardiac asystole. A modified portable cardiopulmonary bypass system and femoral-femoral cannulation in the Emergency Department permitted the rapid institution of core rewarming, oxygenation, and controlled reperfusion, with a successful outcome. Rapid initiation of cardiopulmonary bypass outside the operating room can be an initial treatment option in this unique clinical situation.
Waters
D J
DJ
Department of Cardiothoracic Surgery, St. Joseph Mercy Hospital, Mason City, IA.
Belz
M
M
Lawse
D
D
Ulstad
D
D
D000328:Adult; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods*; D004636:Emergency Service, Hospital; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy*; D007101:Immersion / Q000009:adverse effects*; D008297:Male; D015541:Off-Road Motor Vehicles; D013997:Time Factors; D016896:Treatment Outcome