Stručni rad
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
Sažetak
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.
Ključne riječi
successful resuscitation; ventricular fibrillation; point-of-care; blood gas analysis; potassium; hemodialysis; ICD
Hrčak ID:
51535
URI
Datum izdavanja:
1.4.2010.
Posjeta: 2.322 *