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Piacentini A, Volonte' M, Rigamonti M, et al. Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient: A Case Report. Case Rep Emerg Med. 2012;2012:381798doi: 10.1155/2012/381798.
Piacentini, A., Volonte', M., Rigamonti, M., Guastella, E., & Landriscina, M. (2012). Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient: A Case Report. Case reports in emergency medicine, 2012381798. https://doi.org/10.1155/2012/381798
Piacentini, Alberto, et al. "Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient: A Case Report." Case reports in emergency medicine vol. 2012 (2012): 381798. doi: https://doi.org/10.1155/2012/381798
Piacentini A, Volonte' M, Rigamonti M, Guastella E, Landriscina M. Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient: A Case Report. Case Rep Emerg Med. 2012;2012:381798. doi: 10.1155/2012/381798. Epub 2012 Aug 23. PMID: 23326711; PMCID: PMC3542951.
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Case Rep Emerg Med. 2012;2012:381798. doi: 10.1155/2012/381798. Epub 2012 Aug 23.

Successful Prolonged Mechanical CPR in a Severely Poisoned Hypothermic Patient: A Case Report.

Case reports in emergency medicine

Alberto Piacentini, Maurizio Volonte', Marcello Rigamonti, Elisa Guastella, Mario Landriscina

Affiliations

  1. Anesthesiology-118 Service AAT Como, Italy ; Azienda Ospedaliera Sant'Anna, via Ravona, 1 22020 San Fermo della Battaglia (CO), Italy.

PMID: 23326711 PMCID: PMC3542951 DOI: 10.1155/2012/381798

Abstract

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).

References

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