Therapeutic hypothermia after prolonged cardiopulmonary resuscitation due to pulmonary thromboembolism. Case report

  • Julian Alvarado Ramírez School of Medicine, University of Antioquia, Medellín, Colombia
  • Hector Dario Arroyave Paramo a. University Hospital San Vicente Fundación, Medellin, Colombia. b. Anesthesiology Service, Universidad de Antioquia, Medellín, Colombia
  • Fabian David Casas Arroyave a. University Hospital San Vicente Fundación, Medellin, Colombia. b. Anesthesiology Service, Universidad de Antioquia, Medellín, Colombia
Keywords: Hypothermia, Pulmonary Embolism, Heart Arrest, Cardiopulmonary Resuscitation, Anesthesia

Abstract

This is a report of a 41-year-old patient undergoing femur osteosynthesis (OS) who develops intraoperative cardiac arrest (CA) with pulseless electrical activity (PEA). Massive pulmonary thromboembolism (PTE) was diagnosed as the cause for the CA and a thrombolysis performed 30 min later reestablished spontaneous circulation with no new CA events. Therapeutic hypothermia (TH) was then established with local measures for 18 h for brain protection. The patient was extubated 24 h later with no neurological deficit. There is an increasing evidence of TH and its protective mechanisms in patients with non-shockable arrest rhythms leading to a widespread use of the technique in various institutions around the world, with particular emphasis on neurological outcomes. This article discusses a review of the current literature on TH, in addition to describing each of the stages in TH and how to approach these stages.

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How to Cite
1.
Ramírez JA, Arroyave Paramo HD, Casas Arroyave FD. Therapeutic hypothermia after prolonged cardiopulmonary resuscitation due to pulmonary thromboembolism. Case report. Colomb. J. Anesthesiol. [Internet]. 2014 Oct. 1 [cited 2022 Oct. 3];42(4):317-20. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/252

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Published
2014-10-01
How to Cite
1.
Ramírez JA, Arroyave Paramo HD, Casas Arroyave FD. Therapeutic hypothermia after prolonged cardiopulmonary resuscitation due to pulmonary thromboembolism. Case report. Colomb. J. Anesthesiol. [Internet]. 2014 Oct. 1 [cited 2022 Oct. 3];42(4):317-20. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/252
Section
Case Report / Case Series