抄録
A 29-year-old man who experienced accidental hypothermia and out-of-hospital cardiac arrest (CA) was transported to our hospital while receiving prolonged cardiopulmonary resuscitation (CPR). His body temperature (BT) on admission (146 minutes after the start of CPR) was 22.4°C, and an electrocardiogram showed ventricular fibrillation, so that extracorporeal CPR (ECPR) was immediately started 165 minutes after the start of CPR and continued for 30 hours. Simultaneously, therapeutic hypothermia was performed with a target BT of 33°C and was continued for 24 hours. A sinus cardiac rhythm was restored during ECPR. Although severe rhabdomyolysis and acute renal failure consequently occurred, his renal function recovered after renal replacement therapy for 30 days. The neurological impairment following CA also gradually improved. He was discharged with intact cerebral performance on 60th hospital day. We experienced a case of accidental hypothermia with favorable outcome following prolonged CA who was treated with ECPR and intensive care for post-cardiac arrest syndrome.
