Induced Hypothermia in a Penetrating Trauma Patient
with Cardiac Arrest from Exsanguination:
The First Case Report
Supparerk Prichayudh MD*, Rattaplee Pak-art MD*,
Manasnun Kongwibulwut MD**, Komol Chaivanijchaya MD*, Suvit Sriussadaporn MD*,
Sukanya Sriussadaporn MD*, Kritaya Kritayakirana MD*, Pasurachate Samorn MD*
Affiliation :
* Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
** Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
The authors report the use of induced hypothermia in a stab wound patient with left common femoral artery injury
who had cardiac arrest from exsanguination immediately after arriving at a private hospital. The patient was transferred
to the authors’ institution (a university hospital) after successful cardiopulmonary resuscitation, for vascular repair. The
patient remained comatose five hours after the vascular repair. The induced hypothermia (target body temperature of 33°C)
was initiated 10 hours post arrest after the bleeding control and physiologic derangement restoration had been achieved.
The patient recovered uneventfully with good neurological outcome.
Keywords : Induced hypothermia, Cardiac arrest, Penetrating trauma
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