Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease

Background and ObjectiveTargeted temperature management (TTM) may improve neurological outcomes and mortality after cardiac arrest. We present a targeted mild hypothermia treatment in a postpartum patient with COVID-19 after successful cardiopulmonary resuscitation (CPR).Case presentationA 23 year o...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2023, Vol.39 (4), p.1208-1211
Main Authors: Eman, Ali, Balaban, Onur, Süner, Kezban Özmen, Özgün, Bora
Format: Report
Language:English
Online Access:Get full text
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Summary:Background and ObjectiveTargeted temperature management (TTM) may improve neurological outcomes and mortality after cardiac arrest. We present a targeted mild hypothermia treatment in a postpartum patient with COVID-19 after successful cardiopulmonary resuscitation (CPR).Case presentationA 23 year old, 26-week pregnant patient with the diagnosis of COVID-19. The patient developed respiratory arrest followed by cardiac arrest and underwent CPR for six minutes. The patient underwent an emergency cesarean section after CPR in intensive care unit. After the resuscitation, 72-hours hypothermia protocol was initiated. We extubated the patient 13 days after the hypothermia procedure. The patient was conscious and cooperative. Respiratory distress worsened in the following days; the patient was re-intubated 18 days after the TTM. The benefit of targeted hypothermia was improved neurologic outcome in our patient. However, severe infectious complications led to multi-organ failure and the patient died on the 45th ICU admission day.
ISSN:1682-024X
DOI:10.12669/pjms.39.4.7193