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Signa vitae : journal for intesive care and emergency medicine, Vol. 5 No. 1, 2010.

Professional paper

Refractory ventricular fibrillation with prolonged resuscitation in dialysis-sensitive dysrhythmic patient

PAUL PUCHWEIN ; Department of Traumatology; Medical University of Graz; Auenbruggerplatz 29; 8036 Graz; Austria
SYLVIA ARCHAN ; Department of Anaesthesiology and Intensive Care Medicine; Medical University of Graz; Auenbruggerplatz 29; 8036 Graz; Austria
GERNOT WILDNER ; Department of Anaesthesiology and Intensive Care Medicine; Medical University of Graz; Auenbruggerplatz 29; 8036 Graz; Austria
RAINER GUMPERT ; Department of Traumatology; Medical University of Graz; Auenbruggerplatz 29; 8036 Graz; Austria
WILFRIED HARTWAGNER ; Department of Traumatology; Medical University of Graz; Auenbruggerplatz 29; 8036 Graz; Austria

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Abstract

Sudden cardiac death is a leading cause of death in chronic renal failure patients. We present a case of refractory ventricular fibrillation with successful prolonged resuscitation (> 1 hour) without neurological sequel in an outpatient dialysis centre. Implantation of a cardioverter-defibrillator is able to identify patients as dialysis-sensitive. Smoother potassium removal during hemodialysis could eliminate dysrhythmias. Prehospital (point-of-care) blood gas analysis can be helpful especially in prolonged resuscitation.

Keywords

successful resuscitation; ventricular fibrillation; point-of-care; blood gas analysis; potassium; hemodialysis; ICD

Hrčak ID:

51535

URI

https://hrcak.srce.hr/51535

Publication date:

1.4.2010.

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