Meeting abstract

https://doi.org/10.15836/ccar2019.247

Targeted temperature management after out-of-hospital cardiac arrest: experience from Bosnia and Herzegovina

Amina Godinjak ; Eurofarm Centar Medical Clinic, Sarajevo, Bosnia and Herzegovina

Abstract

Sudden cardiac arrest is one of the most unexpected, dramatic, and life-threatening events in medicine.
1 Although targeted temperature management is widely used in medical and coronary intensive
care units in developed countries, this practice is still not widely used in developing countries. This is
the first case report describing the use of targeted temperature management in patients after cardiac
arrest in Bosnia and Herzegovina. When out-of-hospital cardiac arrest (OHCA) occurs in younger patients,
we must diligently search for less frequent causes of cardiac arrest in the absence of structural
heart disease. In this paper, we present three young patients experiencing non-coronary OHCA. The
causes of cardiac arrest were: Wolf-Parkinson-White syndrome, drug overdose and long-QT syndrome.
All patients were resuscitated according to the advanced cardiac life support guidelines. They were admitted
to the medical intensive care unit, and treated with targeted temperature management (TTM),
with a target temperature between 32°C and 36°C, which was maintained constantly for 24 hours. After
completion of TTM all patients regained full consciousness and were discharged from hospital
without any neurological sequelae. This report further demonstrates the feasibility of TTM in limited
resource settings, and should encourage other intensive care units in Bosnia and Herzegovina and
further afield to use TTM in adult patients after OHCA, because it is technically feasible in developing
countries.

Keywords

out-of-hospital cardiac arrest; targeted temperature management.

Hrčak ID:

226715

URI

https://hrcak.srce.hr/226715

Publication date:

15.10.2019.

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