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Ann Thorac Surg 1994;57:1018-1019
© 1994 The Society of Thoracic Surgeons


Articles

Portable cardiopulmonary bypass: Resuscitation from prolonged ice-water submersion and asystole

Daniel J. Waters, DO*, Michael Belz, CCP, Dorothy Lawse, MD, David Ulstad, MD

Departments of Cardiothoracic Surgery, Emergency Medicine, and Critical Care Medicine, St. Joseph Mercy Hospital, Mason City, Iowa, USA

Accepted for publication July 21, 1993.

* Address reprint requests to Dr Waters, Mercy Heart Center, 84 Beaumont Dr, Mason City, IA 50401.

Accidental hypothermia associated with near-drowning and cardiac arrest has a high mortality, especially in the adult. We report the resuscitation of a 31-year-old man who suffered extended ice-water submersion, severe hypothermia (23 °C, and prolonged (≥78 minutes) cardiac asystole. A modified portable cardiopulmonary bypass system and femoral-femoral cannulation in the Emergency Department permitted the rapid institution of core rewarming, oxygenation, and controlled reperfusion, with a successful outcome. Rapid initiation of cardiopulmonary bypass outside the operating room can be an initial treatment option in this unique clinical situation.




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