Prolonged cardiac arrest: successful resuscitation with extracorporeal membrane oxygenation.
Extracorporeal membrane oxygenation support can extend the duration of cardiopulmonary resuscitation (CPR), but prolonged CPR may develop multiple organ failure, and neurologic death is a major complication. We present a case of a 35-year-old woman with fulminant myocarditis secondary to H1N1 influenza A infection, in which cardiac arrest was refractory to prolonged conventional CPR. Extracorporeal membrane oxygenation was initiated 250 minutes after prolonged CPR. Extracorporeal membrane oxygenation provided cardiopulmonary life support for prolonged CPR, achieving a sustained return of spontaneous circulation, which allowed further treatment and made a good recovery with intact cerebral performance.
Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chun-Wen
CW
Chiu
Hsu-Heng
HH
Yen
Chun-Chieh
CC
Chiu
Ying-Cheng
YC
Chen
Fu-Yuan
FY
Siao
D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007251:Influenza, Human / Q000150:complications; D016896:Treatment Outcome