Lancet: Can the nerve function fully recover after 6 hours of cardiac arrest due to low temperature?

years old femaleThe fall during a mountaineering trip in northern Spain was initially assessed at a rescue centreThe patient's non-reactive heartbeat stopped without pulse pupil dispersal large non-reactive tympanic membrane temperature isStart advanced life support transferred to our hospitalHour and a half after the first assessment she was still in cardiac arrest state where the pupil spliced large non-reactive core temperature was sThe arterial blood sample shows a lactic acid concentration of (normal value -) potassium concentration is (normal value is -)The initial peripheral venous arterial support immediately shows ventricular fibrillationThe patient also began to gasp and appeared with an out-of-sync double-spectrum index monitor on a ventilator to show an outbreak inhibition; In the first few hours of in vitro support, patients develop edicurable blood clotting disorders, bleeding, pulmonary edema, and abnormal flowHowever, after the patient stabilized, her body temperature gradually increased at an hourly rateThe patient resumes the pupil reaction after an hour of in vitro supportLarge ventricular fibrillation can be observed when the body temperature reaches the degree CShe was then defibrillated to produce an effective rhythm which meant that the autonomous cycle was restored in the hours after the initial assessmentElectrocardiograms show that sinus heart rhythms are accompanied by classic or waves that are clearly visible in the leading line when the body temperature reaches the levelThe neuronal-specific oleolenzyme in the patient on the day of the intensive care unit () is reduced to the normal range; Continue to warm until the patient's body temperature is at cStop after an hourThe patient successfully unplugged the tube on the first day of his stayThe neurological assessment at the end of the day did not find abnormal turn-outs on the first day Go home the first day A month after the attack she resumed normal daily activities Neurological sequelae is common after prolonged cardiac arrest Maintaining in vitro support and neuroprotective ness, as well as body temperature management, until adequate ventricular function (e.g our case) can be key to preventing brain injury The total number of hours and minutes of in vitro support for the patient was much longer than previously reported In cases of hypothermia and cardiac arrest, the use of resuscitation as an oxygen redistribution and temperature management means should be considered