title: Neurologic recovery from profound accidental hypothermia after 5 hours of cardiopulmonary resuscitation.
abstract: OBJECTIVE
  To describe the successful neurologic recovery from profound accidental hypothermia with cardiac arrest despite the longest reported duration of cardiopulmonary resuscitation.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Mountain.
  
  
  METHODS
  A 57-year-old woman experienced profound accidental hypothermia (16.9°C) in a mountainous region of Grenoble. She was unconscious and had extreme bradycardia (6 beats/min) at presentation. A cardiac arrest occurred at the mobilization that was not responsive to electrical shocks or epinephrine.
  
  
  METHODS
  Cardiopulmonary resuscitation was continued for 307 minutes after rescue until venoarterial extracorporeal membrane oxygenation blood flow had been established at the emergency department.
  
  
  RESULTS
  At a 3-month follow-up, the patient showed good physical and mental recovery.
  
  
  CONCLUSIONS
  With no evidence of trauma or asphyxia, profound accidental hypothermia with cardiac arrest represents a specific condition for which successful neurologic recovery is feasible despite prolonged cardiopulmonary resuscitation.
authors.affiliation: 1Pole Anesthésie-Réanimation, Hôpital Michallon, Grenoble, France. 2Grenoble Institut des Neurosciences, Université Joseph Fourier, Grenoble, France. 3INSERM, U836, Grenoble, France. 4Service Urgences-SMUR, Centre Hospitalier Albertville Moutiers, Moutiers, France. 5Service de Chirurgie Cardiaque, Hôpital Michallon, Grenoble, France.
authors.forename: Yvonnick
authors.initials: Y
authors.lastname: Boue
authors.forename: Julien
authors.initials: J
authors.lastname: Lavolaine
authors.forename: Pierre
authors.initials: P
authors.lastname: Bouzat
authors.forename: Sophie
authors.initials: S
authors.lastname: Matraxia
authors.forename: Olivier
authors.initials: O
authors.lastname: Chavanon
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Payen
mesh_terms: D000059:Accidents; D016887:Cardiopulmonary Resuscitation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D009424:Nervous System Physiological Phenomena; D020127:Recovery of Function; D012720:Severity of Illness Index; D013997:Time Factors