Intravascular heat exchange technology successfully treats a patient after ultra-long cardiopulmonary resuscitation: a case report.
OBJECTIVE
To investigate the effect of intravascular heat exchange in saving the lives of patients after cardiopulmonary resuscitation.


METHODS
The clinical data of a female patient who was given cardiopulmonary resuscitation for 1.67 h in July 2014 in our hospital was retrospectively analyzed. An intravascular heat exchange procedure was performed on the patient to control her body temperature. Comprehensive treatment measures also included mechanical ventilation, vasoactive agents, and osmotic dehydrating agents to reduce the elevated intracranial pressure, improving cerebral metabolism and anti-infective therapy.


RESULTS
After providing an intravascular heat exchange for 6 h, the patient's eyes automatically opened but the patient was unconscious. After 28 h, the patient became conscious. The breathing machine was withdrawn after 2 d and the vasoactive agents were stopped after 5 d. The patient was discharged after 17 d.


CONCLUSIONS
Intravascular heat exchange could be an important complementary treatment to cardiopulmonary resuscitation.
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Xiuli
X
Zou
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Tiejun
T
Wu
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Lina
L
Zhang
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Xihong
X
Zhang
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Hui
H
Tian
Vascular heat exchange technology; cardiopulmonary resuscitation; hypothermia