Use of Extracorporeal Membrane Oxygenation in Patients with Refractory Cardiac Arrest due to Severe Persistent Hypothermia: About 2 Case Reports and a Review of the Literature

Attou, Rachid; Redant, Sebastien; Préseau, Thierry; Mottart, Kevin; Chebli, Louis; Honoré, Patrick M.; Bels, David De; Gallerani, Andrea

doi:10.1155/2021/5538904

Cited by 1 publication

(1 citation statement)

References 20 publications

(34 reference statements)

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“…However, moderate and severe or deep hypothermia, which is a drop in temperature below 28 degrees Celsius, is rare but can be very dangerous, even for healthy individuals; thus, it is considered a "low-incidence, high-impact" condition [4,5,9]. There have been reports of successful treatment for deep accidental hypothermia with excellent outcomes, including cases where the person's core temperature reached a minimum of 13.7 degrees Celsius in adults and 11.8 degrees Celsius in children, accompanied by resuscitation durations as extensive as 8 h and 40 min [10][11][12][13][14].…”

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confidence: 99%

The Beginning of an ECLS Center: First Successful ECPR in an Emergency Department in Romania—Case-Based Review

Nedelea

Manolescu

Ciumanghel

et al. 2023

JCM

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According to the latest international resuscitation guidelines, extracorporeal cardiopulmonary resuscitation (ECPR) involves the utilization of extracorporeal membrane oxygenation (ECMO) in specific patients experiencing cardiac arrest, and it can be considered in situations where standard cardiopulmonary resuscitation efforts fail if they have a potentially reversible underlying cause, among which we can also find hypothermia. In cases of cardiac arrest, both witnessed and unwitnessed, hypothermic patients have higher chances of survival and favorable neurological outcomes compared to normothermic patients. ECPR is a multifaceted procedure that requires a proficient team, specialized equipment, and comprehensive multidisciplinary support within a healthcare system. However, it also carries the risk of severe, life-threatening complications. With the increasing use of ECPR in recent years and the growing number of centers implementing this technique outside the intensive care units, significant uncertainties persist in both prehospital and emergency department (ED) settings. Proper organization is crucial for an ECPR program in emergency settings, especially given the challenges and complexities of these treatments, which were previously not commonly used in ED. Therefore, within a narrative review, we have incorporated the initial case of ECPR in an ED in Romania, featuring a successful resuscitation in the context of severe hypothermia (20 °C) and a favorable neurological outcome (CPC score of 1).

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