Refractory ventricular fibrillation in accidental hypothermia: salvage with cardiopulmonary bypass

Mulpur, Anil Kumar; Mirsadraee, Saeed; Hassan, Taj B.; McKeague, Helena; Kaul, Pankaj
September 2004
Perfusion;Sep2004, Vol. 19 Issue 5, p311
Academic Journal
A 20-year old woman presented with prolonged refractory ventricular fibrillation and pulmonary, oedema following hypothermia while she was under self-administered heroin in an attempt to commit suicide. She was successfully resuscitated with cardiopulmonary bypass for core rewarming and internal defibrillation.


Related Articles

  • Comparison of the effects of gelatin and a modern hydroxyethyl starch solution on renal function and inflammatory response in elderly cardiac surgery patients. J. Boldt; Ch. Brosch; K. Röhm; M. Papsdorf; A. Mengistu // BJA: The British Journal of Anaesthesia;Apr2008, Vol. 100 Issue 4, p457 

    Background The effects of hydroxyethylstarch (HES) 130/0.4 6% and gelatin 4% on inflammation, endothelial integrity, and renal function after cardiac surgery were compared. Methods Sixty patients aged >80 yr undergoing cardiac surgery were randomized to receive gelatin (n=30) or HES 130/0.4...

  • Treatment of accidental hypothermia with cardiopulmonary bypass: a case report. Binnema, R.; van der Wal, A.; Visser, C.; Schepp, R.; Jekel, L.; Schröder, P. // Perfusion;May2008, Vol. 23 Issue 3, p193 

    This case report describes the successful treatment of severe accidental hypothermia of a 40-year-old woman. At arrival in the operating theatre her rectal temperature was 23°C, her nasal temperature 21°C and her periferal temperature 14°C. The patient presented with a severe...

  • Position article for the use of extracorporeal life support in adult patients Beckmann, Andreas; Benk, Christoph; Beyersdorf, Friedhelm; Haimerl, Gerd; Merkle, Frank; Mestres, Carlos; Pepper, John; Wahba, Alexander // European Journal of Cardio-Thoracic Surgery;Sep2011, Vol. 40 Issue 3, p676 

    Summary: Extracorporeal life support (ECLS) is one of the recent fields in cardiac surgery which has improved significantly the quality of patient care in acute or chronic end-stage heart disease. The safe use of this new technology requires many different prerequisites which are summarized in...

  • A cardioplegia circuit with versatility: the 'ReVerse' system. How to do it. Colangelo, N.; Moriggia, S.; Kieser, T.; De Simone, F.; Vescovo, A.; Palumbo, L.; Denti, P.; Guidotti, A.; Blasio, A.; Maisano, F.; Alfieri, O. // Perfusion;Jul2008, Vol. 23 Issue 4, p205 

    Various methods of cardioplegia administration have been used in cardiac surgery: crystalloid, blood and mixed crystalloid/blood. Each of these types of cardioplegia administration typically needs a different circuit. This may correspond to an increase in cost and the time needed to change the...

  • Mini extracorporeal circuit cardiopulmonary bypass system: a review. Curtis, Nathan; Vohra, Hunaid A.; Ohri, Sunil K. // Perfusion;May2010, Vol. 25 Issue 3, p115 

    Improved knowledge of the pathophysiological processes experienced in response to cardiopulmonary bypass has led to new developments in extracorporeal technology and understanding. The use of mini extracorporeal circuits (MECC) is rapidly expanding in clinical practice. The mini extracorporeal...

  • Successful resuscitation from hypothermic induced cardiac arrest using cardiopulmonary bypass. Black, J. J. M.; Memra, A.; Venn, G.E.; Williams, B. T. // Journal of the Royal Society of Medicine;Dec1993, Vol. 86 Issue 12, p732 

    The mortality of patients who develop hypothermia has been reported to be in excess of 80% at core temperatures between 24° and 35°C. The prognosis of those who have sustained cardiac arrest is extremely poor unless they can be rapidly rewarmed. We describe a case where cardiopulmonary...

  • Totally endoscopic closure of an atrial septal defect using the da vinci surgical system: Report of four cases. Yujiro Kikuchi; Teruaki Ushijima; Go Watanabe; Norihiko Ishikawa; Munehisa Takata; Yoshitaka Yamamoto // Surgery Today;Feb2010, Vol. 40 Issue 2, p150 

    Abstract  This report presents four cases of totally endoscopic closure of an atrial septal defect using the da Vinci Surgical System (Intuitive Surgical, Mountain View, CA, USA). The patients were diagnosed with an ostium secundum atrial septal defect and elected to undergo minimally...

  • Do not leave the heart arrested. Non-cardioplegic continuous myocardial perfusion during complex aortic arch repair improves cardiac outcome. Martens, Andreas; Koigeldiyev, Nurbol; Beckmann, Erik; Fleissner, Felix; Kaufeld, Tim; Krueger, Heike; Stanelle, Detlev; Puntigam, Jakob; Haverich, Axel; Shrestha, Malakh // European Journal of Cardio-Thoracic Surgery;Jan2016, Vol. 49 Issue 1, p141 

    OBJECTIVES: Myocardial protection with cardioplegia alone may be inadequate during complex aortic arch surgery, potentially resulting in postoperative myocardial insufficiency. We hypothesized that non-cardioplegic continuous myocardial perfusion (CMP) is feasible and safe to protect the heart...

  • Role of Extracorporeal Circulation in the Management of Accidental Deep Hypothermia Saxena, Pankaj; Shehatha, Jaffar; Boyt, Adam; Newman, Mark; Konstantinov, Igor E // Heart, Lung & Circulation;Dec2009, Vol. 18 Issue 6, p416 

    Deep hypothermia leading to cardiac arrest requires aggressive management for resuscitation. Various methods are available to rewarm the patient. We hereby present a case report where active resuscitation was carried out using cardiopulmonary bypass in a young female who was found unconscious...


Read the Article

Courtesy of

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics