title: [Cardiopulmonary resuscitation after heroin intoxication and hypothermia].
abstract: We present the case of a 21-year-old female drug addict with severe accidental hypothermia (core body temperature 27.5 degrees C) and cardiorespiratory arrest. After successful cardiopulmonary resuscitation the patient was actively internally rewarmed without the use of extracorporal circulation. Although at the first clinical presentation the patient appeared to be dead, an excellent neurological outcome was achieved. This case report reviews the epidemiology, pathophysiology, prognostic markers and the therapeutic approaches of severe hypothermia.
authors.affiliation: Abteilung für Anästhesiologie und Intensivmedizin, Landeskrankenhaus, St. Veiterstrasse 47, 9020, Klagenfurt, Osterreich. manuela.platzer@lkh-klu.at
authors.forename: M
authors.initials: M
authors.lastname: Platzer
authors.forename: E
authors.initials: E
authors.lastname: Trampitsch
authors.forename: R
authors.initials: R
authors.lastname: Likar
authors.forename: C
authors.initials: C
authors.lastname: Breschan
authors.forename: H-V
authors.initials: HV
authors.lastname: Schalk
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000506:poisoning*; D016887:Cardiopulmonary Resuscitation; D062787:Drug Overdose; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced / Q000628:therapy; D003932:Heroin / Q000506:poisoning*; D006556:Heroin Dependence / Q000150:complications / Q000503:physiopathology; D006801:Humans; D007035:Hypothermia / Q000150:complications*; D011379:Prognosis; D017694:Rewarming
chemical_list: D000701:Analgesics, Opioid; D003932:Heroin