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International Journal of
Critical Care and Emergency Medicine ISSN: 2474-3674

Citation

Powell EK, Lemmink GA, Trester JT, Louis LB (2019) Extracorporeal Cardiopulmonary Resuscitation in a 36-Year-Old Man with Viral Myocarditis Who Survived Prolonged Cardiac Arrest and Bedside Decompressive Laparotomy Neurologically Intact. Int J Crit Care Emerg Med 5:087. doi.org/10.23937/2474-3674/1510087

Copyright

© 2019 Powell EK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE STUDY | OPEN ACCESSDOI: 10.23937/2474-3674/1510087

Extracorporeal Cardiopulmonary Resuscitation in a 36-Year-Old Man with Viral Myocarditis Who Survived Prolonged Cardiac Arrest and Bedside Decompressive Laparotomy Neurologically Intact

Elizabeth K Powell, MD1*, Gretchen A Lemmink, MD2, Joshua T Trester, MD2 and Louis B Louis IV, MD3

1Critical Care Fellow, Department of Anesthesiology, Division of Critical Care, University of Cincinnati, USA

2Assistant Professor, Department of Anesthesiology, Division of Critical Care, University of Cincinnati, USA

3Associate Professor, Department of Surgery, Division of Cardiothoracic Surgery, University of Cincinnati, USA

Abstract

We report a case of prolonged cardiac arrest in a patient with viral myocarditis who was subsequently cannulated for veno-arterial extracorporeal membrane oxygenation (VA-ECMO) while in cardiac arrest. The patient developed bowel ischemia and abdominal compartment syndrome on ECMO and required a bedside decompressive laparotomy and hemicolectomy. This case demonstrates that prolonged downtime with high quality CPR and potential ischemic complications of VA-ECMO should not preclude ongoing resuscitation and treatment as favorable neurologic outcome is still possible.