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Case Reports
. 1994 Apr;57(4):1018-9.
doi: 10.1016/0003-4975(94)90229-1.

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

D J Waters  1 , M Belz, D Lawse, D Ulstad
Affiliations
Case Reports

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

D J Waters et al. Ann Thorac Surg. 1994 Apr.

Abstract

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 degrees C), and prolonged (> or = 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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