{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T08:12:36Z","timestamp":1766391156153,"version":"build-2065373602"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":89,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Cardiorespiratory arrest due to severe hypothermia may require prolonged cardiopulmonary resuscitation whilst the patient is rewarmed. There are reported cases of successful resuscitation with good neurological outcomes after prolonged arrests and resuscitation up to 9\u00a0h. However, in the majority of these cases, extracorporeal life support was used to maintain perfusion and rewarm the patient. Here, we report a case of successful cardiopulmonary resuscitation lasting 6.5\u00a0h, following cardiac arrest secondary to severe hypothermia, with rewarming using an Arctic Sun\u2122 5000. The Arctic Sun 5000 is a targeted temperature management device which is conventionally used to prevent hyperthermia post\u2010cardiac arrest. In this report, we discuss the reasons why the device was used in this case and the effects of severe hypothermia on cardiac arrest management. We believe that this is the longest reported successful cardiopulmonary resuscitation in a severely hypothermic patient without the use of extracorporeal life support.<\/jats:p>","DOI":"10.1002\/anr3.12223","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T04:45:56Z","timestamp":1680237956000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Use of the Arctic <scp>Sun\u2122<\/scp> 5000 targeted temperature management system to achieve rewarming during a prolonged hypothermic cardiorespiratory arrest"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4473-7066","authenticated-orcid":false,"given":"A.","family":"Grewal","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Critical Care Royal Hampshire County Hospital  Winchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care Royal Hampshire County Hospital  Winchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010501"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199711203372103"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2018.09.018"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2282-6"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066610394423"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2007.11.001"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAEM.S245398"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7007.725"},{"key":"e_1_2_5_10_1","unstructured":"European Resuscitation Council.ERC Guidelines 2021.https:\/\/cprguidelines.eu(accessed 03\/06\/2022)."},{"key":"e_1_2_5_11_1","unstructured":"National Institute for Health and Care Excellence.Arctic Sun 5000 for Therapeutic Hypothermia After Cardiac Arrest 2017.https:\/\/www.nice.org.uk\/advice\/mib112(accessed 03\/06\/2022)."}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:04:19Z","timestamp":1759946659000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/anr3.12223"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12223","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2023-03-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12223"}}