D Gonzalez

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Publications (2)0.77 Total impact

  • Article: [Resuscitation after three hours of cardiac arrest with severe hypothermia following a toxic coma].
    T Gillart, S Loiseau, K Azarnoush, D Gonzalez, D Guelon
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    ABSTRACT: We report the case of a 37-year-old woman who survived from severe hypothermia (rectal temperature: 22 degrees C) and prolonged cardiac arrest with asystole after benzodiazepine and tricyclic antidepressant poisoning. Basic-cardiopulmonary resuscitation and mechanical ventilation was started by a French Mobile Intensive-Care unit. Spontaneous circulation was restored at 25 degrees C under epinephrin after three hours of chest compression from home to the intensive-care unit and rewarming with extracorporeal circulation. The patient was discharged at day 13 without any neurological deficit. The discussion focuses on the benefit of extracorporeal-membrane oxygenation (ECMO) as extracorporeal circulation device through femoral access, the differential diagnosis between death and recoverable cardiac arrest and neuroprotection.
    Annales francaises d'anesthesie et de reanimation 07/2008; 27(6):510-3. · 0.77 Impact Factor
  • Article: Récupération sans séquelle après trois heures d’arrêt cardiaque en hypothermie à 22 °C au décours d’un coma toxique
    T Gillart, S Loiseau, K Azarnoush, D Gonzalez, D Guelon
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    ABSTRACT: R\'esum\'e Nous rapportons l'observation d'une femme de 37 ans, prise en charge \`a son domicile en asystolie et hypothermie \`a 22 °C dans les suites d'une intoxication m\'edicamenteuse volontaire par benzodiaz\'epines et antid\'epresseurs tricycliques. Apr\`es intubation trach\'eale et transfert en milieu hospitalier par le Samu, la r\'eanimation a comport\'e un r\'echauffement par circulation extracorporelle \`a l'origine d'une reprise d'activit\'e cardiaque sous adr\'enaline, apr\`es plus de trois heures de compressions thoraciques. Les suites ont \'et\'e marqu\'ees par une excellente r\'ecup\'eration neurologique, autorisant la sortie de r\'eanimation apr\`es deux semaines. La discussion aborde l'int\'er\^et de l'oxyg\'enation extracorporelle dans cette situation, la neuroprotection et les \'el\'ements favorables incitant \`a une r\'eanimation prolong\'ee. We report the case of a 37-year-old woman who survived from severe hypothermia (rectal temperature: 22 °C) and prolonged cardiac arrest wi
    Annales Françaises d'Anesthésie et de Réanimation. In Press, Corrected Proof.
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