The Cryonics Institute’s 132nd Patient
Cryonics Institute Case Report for Patient Number 132
CI patient #132 was a 47 year old male from Pennsylvania. The patient was a CI member at the time of his death.
On March 24th 2015 at 12:30 pm patient 132, went into cardiac arrest and was pronounced in his home by hospice medical staff on scene. Due to the circumstance of his illness (ALS) He had publicly decided to have his ventilator removed. This afforded volunteer standby via myself (Dennis Kowalski) and funeral directors the ability to be available bedside to begin ice bath cool down and CPS immediately. Prior to his arrest he was administered IV Heparin, Mannitol, Malox, Morphine, and Versed by his physician. At approximately 12:31pm manual CPS and cool down was begun. Another 160 units of Heparin were given IV and 1 mg Epinephrine 1:10,000 was administered every 5 minutes IV bolus for the first 40 minutes. His initial temperature of 36.2 C was obtained via nasopharynx at 12:32. He was ventilated using an Bag valve mask with an ITD at about 12 vent per min. His end title CO2 was in the 5% range indicating good ventilation and gas exchange from the lungs. Approx 1 hour of high quality CPS was performed at a rate of 100 per min using the Lucas 1 automatic CPR unit while he was supine in the Ziegler Ice bath. In addition, ice water circulation was continued with a battery pack driven marine bildge pump and hose with an emphasis on the patients head. Departure from Pennsylvania was at 3:14 and the temp reading was 13.1 C. Ice water circulation continued enroute to CI with an arrival time of 11:52 pm where temperature was measured at 3.4 C.
Sara Walsh, CIs local cooperating funeral director, was present for the perfusion and she was assisted by Hillary, a licensed funeral director who works for her. The surgery for the perfusion began at 12:41am and the perfusion began at 1:01am. A full-body perfusion was performed. The temperature of the probe in the nasopharynx was 3.4c at the start of the perfusion.
The perfusion was finished at 2:15am. During the perfusion 6 liters of 10% EG solution, 10 liters of 30% EG solution and 70 liters of 70% VM1 solution were used. The final refractive index of the effluents exiting the right jugular vein from the head was 1.4226. The final refractive index of the effluents exiting from the right jugular vein in the body was 1.4206. The average flow rate during perfusion with 70%VM1 was 1.41 liters per minute. The temperature of the probe in the nasopharynx was -5.6c when the perfusion was complete.
The patient was then placed in the computer controlled cooling chamber to cool to liquid nitrogen temperature. The human vitrification program was selected and the time needed to cool the patient to liquid nitrogen temperature was five and a half days. The patient was then placed in a cryostat for long-term cryonic storage.
Comments: The perfusion of the patient went very well because of advanced planning and on hand standby at the moment of cardiac arrest. This case was a result of donations made possible from the venturist society and the very generous cryonics community.Thanks to all who donated the time and money to make this happen.