Sep 1, 2005

Recovery of a hypothermic drowned child after resuscitation with cardiopulmonary bypass followed by prolonged extracorporeal membrane oxygenation

Resuscitation
Christoph EichDietrich Kettler

Abstract

Drowning is a leading cause of death in children worldwide. However, there is uncertainty about the initiation and the extent of adequate therapeutic interventions after drowning accidents. As prediction of outcome in drowned children remains difficult, initial maximum life support appears to be generally justified. We present the case of a 3-year-old drowned girl in refractory cardiorespiratory arrest who was resuscitated successfully with cardiopulmonary bypass (CPB) followed by extracorporeal membrane oxygenation (ECMO) for 4 days. After a prolonged period in a vegetative state eventually she made an almost complete neurological recovery. We do not have knowledge of any case of drowning reported with a favourable neurological outcome after such a prolonged period of ECMO.

  • References18
  • Citations23

Citations

Mentioned in this Paper

Pulmonary Edema
Morbidity Aspects
Alveolar Ventilation Function
Neurologic Manifestations
Base Excess Measurement
Lung
Tang Hsi Ryu Syndrome
Brain
Cell Respiration
Transcription Initiation

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