title: Rewarming from severe accidental hypothermia with circulatory arrest.
abstract: This case report demonstrates successful cardiopulmonary and cerebral resuscitation (CPCR) of a young male explored 15 hours following a suicide attempt (carbamazepine intoxication) in deep hypothermia (19 degrees C) with circulatory arrest. An extracorporeal circuit was used to rewarm the patient's blood. Weaning from extracorporeal circulation (ECC) was successful and without complications as was recovery from multiorgan dysfunction, severe rhabdomyolysis and carbamazepine intoxication. An excellent outcome was achieved without any neurological deficit at the time of discharge from the hospital.
authors.affiliation: Department of Cardiac Surgery, University Hospital Ostrava, Czech Republic.
authors.forename: Radim
authors.initials: R
authors.lastname: Brát
authors.forename: Jirí
authors.initials: J
authors.lastname: Skorpil
authors.forename: Jirí
authors.initials: J
authors.lastname: Bárta
authors.forename: Marek
authors.initials: M
authors.lastname: Suk
authors.forename: Tomás
authors.initials: T
authors.lastname: Schichel
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000506:poisoning; D002220:Carbamazepine / Q000506:poisoning; D005112:Extracorporeal Circulation; D006323:Heart Arrest / Q000150:complications / Q000628:therapy*; D006801:Humans; D007035:Hypothermia / Q000150:complications / Q000628:therapy*; D008297:Male; D012151:Resuscitation; D017694:Rewarming / Q000379:methods*; D013406:Suicide, Attempted
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine