We report a case of respiratory arrest, refractory circulatory collapse, an
d severe hypothermia following ingestion of an organophosphate insecticide.
In addition to conventional management, including mechanical ventilation,
administration of vasopressors, enteral lavage, charcoal hemoperfusion and
administration of antidotes, extracorporeal cardiopulmonary support In the
form of percutaneous cardiopulmonary support was successfully employed. Per
cutaneous cardiopulmonary support may be used for severe but potentially re
versible pulmonary or cardiovascular toxicity induced by organophosphates a
s well as complicated severe hypothermia.