Profound hypothermic cardiac arrest treated successfully using minimally invasive cardiopulmonary bypass: a case report.
BACKGROUND
Hypothermia is defined as a core temperature of less than 35 degrees C. The decision to resuscitate a hypothermic patient can be difficult, as consideration must be given to whether the patient died before the cooling process. The modality for rewarming must also be considered.


METHODS
A severely hypothermic 54-year-old man with a core temperature of 21 degrees C was successfully rewarmed using cardiopulmonary bypass via the femoro-femoral route. The patient made a full neurological recovery.


CONCLUSIONS
Cardiopulmonary bypass provides excellent circulatory support for profound hypothermia and allows rapid core rewarming. The femoro-femoral approach is the preferred method for this scenario.
Department of Cardiac Surgery, Northern General Hospital, Sheffield, UK.
Robert
R
Janas
Rajwinder Singh
RS
Jutley
Sean
S
Clinton
Pradip K
PK
Sarkar
D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D003422:Critical Care / Q000379:methods; D006323:Heart Arrest / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007035:Hypothermia / Q000150:complications* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome