Anesthesia-attributed cardiac arrest has been known to be associated with improved survival. When the duration of cardiopulmonary resuscitation (CPR) increases, the survival rate decreases. We experienced a case of a 68-year-old man with post-extubation cardiac arrest due to refractory ventricular fibrillation. Despite of 52 minutes of conventional CPR, sustained return of spontaneous circulation (ROSC) was not achieved. After insertion of extracorporeal membrane oxygenation, ROSC was achieved. The patient was discharged on postoperative day 25 without any neurologic complications.
Key words: Cardiac arrest, extracorporeal membrane oxygenation, hypothermia, ventricular fibrillation.
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