[Resuscitation of a near-drowning patient by the use of a portable extracorporeal circulation device].
We report on a 21-year old patient who nearly drowned in cold water under inexplicable circumstances. About 1/2 hour later he was found with cardiac arrest. Immediate cardiopulmonary resuscitation remained unsuccessfully but was continued. After transportation to the nearest hospital a core temperature of 26.1 degrees C was recorded. A team of our hospital arrived 2 1/2 hours after start of cardiopulmonary resuscitation. After introducing a femo-femoral bypass the patient was rapidly rewarmed and oxygenated using a portable extracorporeal circulation and membrane oxygenation. Defibrillation succeeded at a core temperature of 34.4 degrees C. A severe ARDS developed the same day which was successfully treated by membrane oxygenation. 41 days later the patient left the hospital fully recovered.
Kumle
B
B
Klinik für Anästhesiologie und operative Intensivmedizin, Klinkum der Stadt Ludwigshafen.
Döring
B
B
Mertes
H
H
Posival
H
H
D000328:Adult; D001831:Body Temperature; D004554:Electric Countershock; D005112:Extracorporeal Circulation; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007035:Hypothermia; D008297:Male; D015701:Near Drowning / Q000150:complications / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012151:Resuscitation / Q000295:instrumentation / Q000379:methods*
Reanimation eines Beinah-Ertrunkenen mittels einer portablen extrakorporalen Zirkulation.