Excellent Outcome With Extracorporeal Membrane Oxygenation After Accidental Profound Hypothermia (13.8°C) and Drowning

Critical Care Medicine
Birgitta S RomlinAndreas Claesson

Abstract

To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning. Patient records and interviews with search-and-rescue personnel. Case report. The girl was rescued after an estimated submersion time of at least 83 minutes in icy sea water. She presented with cardiac arrest, ice in her upper airways, a first-documented nasopharyngeal temperature of 13.8°C, and a serum potassium of 11.3 mmol/L. The patient was slowly rewarmed with extracorporeal membrane oxygenation and made an exceptional recovery after intensive care and a long rehabilitation time. Excellent outcome is possible in children with body temperature and serum potassium reaching the far limits of previously reported human survival and prolonged submersion time.

References

Jul 15, 1988·JAMA : the Journal of the American Medical Association·R G BolteH M Corneli
Mar 1, 1996·The Journal of Trauma·J A Dobson, J J Burgess
Jan 1, 1996·Journal of Neurosurgical Anesthesiology·E Kornberger, P Mair
Jun 26, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M FarstadP Husby
Apr 26, 2003·High Altitude Medicine & Biology·Bruno DurrerUNKNOWN International Commission for Mountain Emergency Medicine
Dec 9, 2003·Resuscitation·Tom Silfvast, Ville Pettilä
Oct 14, 2005·The New England Journal of Medicine·Seetha ShankaranUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
Jun 1, 2012·The New England Journal of Medicine·David SzpilmanJames P Orlowski
Nov 16, 2012·The New England Journal of Medicine·Douglas J A BrownPeter Paal
Mar 13, 2014·Resuscitation·Linda QuanMelissa A Schiff

❮ Previous
Next ❯

Citations

Mar 27, 2016·Annals of Emergency Medicine·Michael Gottlieb, John Bailitz
Jun 17, 2016·Critical Care Medicine·Raphael Briot, Marc Blancher
Jul 1, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Frank W MolerUNKNOWN Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital Trial Investigators
Sep 17, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Peter PaalHermann Brugger
Dec 17, 2016·Therapeutic Hypothermia and Temperature Management·Tomoya OkazakiYasuhiro Kuroda
Feb 7, 2019·Physiology·Claire A Nordeen, Sandra L Martin
Sep 2, 2016·European Respiratory Review : an Official Journal of the European Respiratory Society·David Szpilman, James P Orlowski
Mar 25, 2021·High Altitude Medicine & Biology·Christof MittermairPeter Paal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.