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[Resuscitation after three hours of cardiac arrest with severe hypothermia following a toxic coma]

T Gillart1, S Loiseau, K Azarnoush

  • 1Département d'anesthésie-réanimation, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, B.P. 69, 63003 Clermont-Ferrand, France. tgillart@chu-clermont-ferrand.fr

Annales Francaises D'Anesthesie Et De Reanimation
|June 21, 2008
PubMed

We report the case of a 37-year-old woman who survived from severe hypothermia (rectal temperature: 22 degrees C) and prolonged cardiac arrest with asystole after benzodiazepine and tricyclic antidepressant poisoning. Basic-cardiopulmonary resuscitation and mechanical ventilation was started by a French Mobile Intensive-Care unit. Spontaneous circulation was restored at 25 degrees C under epinephrin after three hours of chest compression from home to the intensive-care unit and rewarming with extracorporeal circulation. The patient was discharged at day 13 without any neurological deficit. The discussion focuses on the benefit of extracorporeal-membrane oxygenation (ECMO) as extracorporeal circulation device through femoral access, the differential diagnosis between death and recoverable cardiac arrest and neuroprotection.

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