Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient : A Case Report
Joint Authors
Rigamonti, Marcello
Landriscina, Mario
Piacentini, Alberto
Volonte', Maurizio
Guastella, Elisa
Source
Case Reports in Emergency Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-23
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Mechanical cardiopulmonary resuscitation (m-CPR) devices are an alternative to manual CPR, but their efficacy has been subject to debate.
We present a case of a patient with full-neurologic recovery after prolonged m-CPR.
The patient presented with severe hypothermia (internal temperature 24°C) and poisoning (sedatives/hypnotics).
Hepatic perfusion and metabolism are considered keys to restore spontaneous circulation.
During this period no problems related to the device or patient positioning were encountered.
Delivery of high-quality CPR and prolonged resuscitation were achieved.
We confirm that ventilations asynchronous with chest compressions can be a problem.
Reduction in chest measurements can hamper lung ventilation.
A synchronous mode of manual ventilation (30 : 2) seems to be the best solution.
The patient had an initial period of manual CPR.
No damage to any organ or structure was noted.
This case is of further interest because our EMS helicopters can fly 24 hours a day and m-CPR devices could play an important role as a “bridge” in patients when active rewarming by cardiopulmonary bypass is indicated (CPB).
American Psychological Association (APA)
Piacentini, Alberto& Volonte', Maurizio& Rigamonti, Marcello& Guastella, Elisa& Landriscina, Mario. 2012. Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient : A Case Report. Case Reports in Emergency Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-467611
Modern Language Association (MLA)
Piacentini, Alberto…[et al.]. Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient : A Case Report. Case Reports in Emergency Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-467611
American Medical Association (AMA)
Piacentini, Alberto& Volonte', Maurizio& Rigamonti, Marcello& Guastella, Elisa& Landriscina, Mario. Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient : A Case Report. Case Reports in Emergency Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-467611
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467611