title: Ultra long cardiopulmonary resuscitation with intact cerebral performance for an asystolic patient with acute myocarditis.
abstract: Cardiopulmonary resuscitation (CPR) for 10-30 min without return of spontaneous circulation is considered to have a grave prognosis. We report a 27-year-old woman who experienced in-hospital, witnessed cardiac arrest and underwent prolonged CPR with manual chest compressions for 280 min. Adequate chest compression was monitored with femoral arterial pressure monitoring. During this time, she was alert and responsive. She was then supported with extracorporeal membrane oxygenation (ECMO) for 9 days without her heart beating. After combined heart and kidney transplantation, she recovered well with intact cerebral performance. This successful case report supports the endeavours for relentless CPR efforts.
authors.affiliation: Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Hsi-Yu
authors.initials: HY
authors.lastname: Yu
authors.forename: Hseng-Long
authors.initials: HL
authors.lastname: Yeh
authors.forename: Shoei-Shen
authors.initials: SS
authors.lastname: Wang
authors.forename: Meng-Kun
authors.initials: MK
authors.lastname: Tsai
authors.forename: Yih-Sharng
authors.initials: YS
authors.lastname: Chen
authors.forename: Wen-Je
authors.initials: WJ
authors.lastname: Ko
authors.forename: Fang-Yue
authors.initials: FY
authors.lastname: Lin
mesh_terms: D000328:Adult; D001794:Blood Pressure; D016887:Cardiopulmonary Resuscitation; D002560:Cerebrovascular Circulation; D004632:Emergency Medical Services; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D016027:Heart Transplantation; D006440:Hemofiltration; D006801:Humans; D009205:Myocarditis / Q000628:therapy*; D013997:Time Factors