Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hospital cardiac arrest

N Nielsen, L Sandhall, F Schersten, Hans Friberg, SE Olsson

Research output: Contribution to journalArticlepeer-review

30 Citations (SciVal)

Abstract

A 62-year-old man suffered out-of-hospital cardiac arrest and was treated with mechanical compression-decompress ion during transport to the hospital. In the emergency department, 28 min after cardiac arrest, spontaneous circulation returned briefly but the patient rapidly became asystolic and mechanical compression-decompression was again applied. After further resuscitation a spontaneous circulation returned and the patient was transferred, deeply comatose, to the coronary intervention laboratory while therapeutic hypothermia was induced. In the laboratory the heart arrested again and coronary angiography was performed during manual CPR revealing a left main stem occlusion. After successful reperfusion of the heart the patient was transferred to the intensive care unit with an intra-aortic balloon pump. The patient was treated with hypothermia for 24 h and awoke without neurological sequelae after a sustained intensive care period of 13 days. The present case is an example of how modern resuscitation principles implementing new clinical and experimental findings may strengthen the chain of survival during resuscitation.
Original languageEnglish
Pages (from-to)111-113
JournalResuscitation
Volume65
Issue number1
DOIs
Publication statusPublished - 2005

Subject classification (UKÄ)

  • Anesthesiology and Intensive Care

Keywords

  • hypothermia
  • cardiac arrest
  • cardiopulmonary resuscitation
  • brain ischaemia
  • compression-decompression (mechanical compression-decompression)
  • return of spontaneous circulation
  • active

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