DOI: 10.1097/CCM.0000000000001283

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PMID: 26317568

Issn Print: 0090-3493

Publication Date: 2015/11/01


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

Birgitta S. Romlin; Helena Winberg; Magnus Janson; Boris Nilsson; Kerstin Björk; Anders Jeppsson; Gunilla Drake; Andreas Claesson

+ Author Information

Author Information: Department of Pediatric Anesthesia and Intensive Care, The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.

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Abstract

Objective:

To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning.

Data Sources and Extraction:

Patient records and interviews with search-and-rescue personnel.

Study Selection:

Case report.

Data Synthesis:

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.

Conclusion:

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.

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