Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)

Intensive Therapy for Post-resuscitation Disease in a Patient with Hypothermia (Clinical Case)

Authors
Alexander F. Potapov1, Albina A. Ivanova1, *, Alexandra G. Zolotareva2, Zakhar M. Rozhin2, Svetlana V. Semenova2
1North-Eastern Federal University, Medical Institute, 677000, Yakutsk, Russia
2State budgetary institution of the Republic of Sakha (Yakutia) Republic Hospital No. 2 – Center for Emergency Medical Care, 67700 Yakutsk, Russia
*Corresponding author. Email: aa.ivanova@s-vfu.ru
Corresponding Author
Albina A. Ivanova
Available Online 17 January 2022.
DOI
10.2991/ahsr.k.220103.038How to use a DOI?
Keywords
post-resuscitation disease; intensive therapy; hypothermia
Abstract

The present article describes a case of a successful outcome of post-resuscitation disease after prolonged cardiopulmonary resuscitation (CPR) at the prehospital stage in a patient with clinical death due to hypothermia. The unknown, a young man, was admitted to the Emergency Medical Center by an emergency medical team (EMS) after resuscitation measures lasting 240 minutes (4 hours), during which repeated episodes of fibrillation of ventricles and pulse-free electrical activity of the heart were observed. After restoring blood circulation, the patient was hospitalized in the intensive care unit, where a complex of resuscitation measures was continued, which included respiratory and hemodynamic support, prevention of secondary hypoxic damage to the central nervous system and other organs and systems of the body, as well as warming and local treatment of local frostbites. After 72 hours, medicinal sedation was stopped, transmission to spontaneous breathing was carried out in stages, and after 14 days from the moment of hospitalization, the patient in a state of moderate severity, without neurological deficiency and with satisfactory clinical and laboratory indicators was transferred to the department for patients with thermal trauma, where treatment of local frostbites was continued. Thus, a timely and full-fledged set of resuscitation measures at the prehospital stage, adherence to the continuity of treatment of the patient in the hospital made it possible to achieve a favorable outcome in the patient with repeated and prolonged episodes of clinical death.

Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

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Volume Title
Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)
Series
Advances in Health Sciences Research
Publication Date
17 January 2022
ISBN
978-94-6239-513-8
ISSN
2468-5739
DOI
10.2991/ahsr.k.220103.038How to use a DOI?
Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

Cite this article

TY  - CONF
AU  - Alexander F. Potapov
AU  - Albina A. Ivanova
AU  - Alexandra G. Zolotareva
AU  - Zakhar M. Rozhin
AU  - Svetlana V. Semenova
PY  - 2022
DA  - 2022/01/17
TI  - Intensive Therapy for Post-resuscitation Disease in a Patient with Hypothermia (Clinical Case)
BT  - Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)
PB  - Atlantis Press
SP  - 189
EP  - 193
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220103.038
DO  - 10.2991/ahsr.k.220103.038
ID  - Potapov2022
ER  -