Accidental hypothermia with cardiac arrest: Recovery following rewarming by cardiopulmonary bypass

Edward Bolgiano, Leon Sykes, Robert A. Barish, Roderick Zickler, Brian Eastridge

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

A 22-year-old man eventually had a good neurologic recovery following prolonged coma after extracorporeal rewarming from profound hypothermia (24°C) due to exposure. The patient was in full arrest for 60 minutes prior to institution of cardiopulmonary bypass (CPB). Total bypass time was 50 minutes. Cardiopulmonary bypass is the current rewarming method of choice for severe hypothermia associated with a persistent nonperfusing cardiac rhythm. CPB provides the most rapid core rewarming with the additional benefit of circulatory support during the period of cardiac instability.

Original languageEnglish (US)
Pages (from-to)427-433
Number of pages7
JournalJournal of Emergency Medicine
Volume10
Issue number4
DOIs
StatePublished - Jan 1 1992

Keywords

  • arrest
  • bypass
  • extracorporeal
  • hypothermia
  • rewarming

ASJC Scopus subject areas

  • Emergency Medicine

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