Abstract
Rationale:Therapeutic hypothermia is an effective medical treatment for neurological recovery after cardiac arrest. Here, we describe a case of successful mild therapeutic hypothermia after cardiac arrest during living-donor liver transplantation.Patient concerns:A 54-year-old woman with alcoholic liver cirrhosis was admitted for living-donor liver transplantation. Cardiac arrest occurred during the anhepatic phase. After cardiopulmonary resuscitation, spontaneous circulation returned, but the bispectral index level remained below 10 until the end of surgery.Diagnoses:Neurological injury caused by global cerebral hypoperfusion was suspected.Interventions:The patient was treated with mild therapeutic hypothermia for 24hours after resuscitation targeting a core body temperature of 34°C with surface cooling using ice bags.Outcomes:The patient recovered consciousness about 22 hours after the event. However, she showed symptoms of delirium even when discharged. At the 3-month follow-up exam, she showed no specific neurological complications. The transplanted liver showed no problems with regeneration.Lessons:Mild therapeutic hypothermia may be safely adopted in cases of cardiac arrest in liver transplant patients and is beneficial for neurological recovery.
Original language | English |
---|---|
Pages (from-to) | E22513 |
Journal | Medicine (United States) |
Volume | 99 |
Issue number | 45 |
DOIs | |
State | Published - 6 Nov 2020 |
Bibliographical note
Publisher Copyright:Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.
Keywords
- cardiac arrest
- liver regeneration
- living-donor liver transplantation
- therapeutic hypothermia