Ultra long cardiopulmonary resuscitation with intact cerebral performance for an asystolic patient with acute myocarditis.
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.
Yu
Hsi-Yu
HY
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Yeh
Hseng-Long
HL
Wang
Shoei-Shen
SS
Tsai
Meng-Kun
MK
Chen
Yih-Sharng
YS
Ko
Wen-Je
WJ
Lin
Fang-Yue
FY
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