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