Document Detail


Hyperkalemic cardiac arrest, prolonged heart massage and simultaneous hemodialysis.
MedLine Citation:
PMID:  2768648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 53 year old diabetic patient underwent CABG and aortic valve replacement in another institution and developed postoperative oliguric and hyperkalemic acute renal failure. Shortly after transferring to our unit a cardiac arrest occurred. Immediate resuscitative measures were ineffective. The serum potassium level was 10.2 mmol/l. Conventional arteriovenous hemodialysis was initiated while the patient was still undergoing cardiac massage. When the serum potassium level was lowered to 6.5 mmol/l, 90 min later, the heart began to beat. After hemodialysis was discontinued the patient was reactive and fully conscious. The use of simultaneous hemodialysis with prolonged mechanical heart massage as a reliable method for recovery in hyperkalemic cardiac standstill is stressed.
Authors:
C Torrecilla; J L de la Serna
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  15     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1989  
Date Detail:
Created Date:  1989-10-11     Completed Date:  1989-10-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  325-6     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Clinica Puerta de Hierro, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Heart Arrest / etiology*,  therapy
Humans
Hyperkalemia / complications*,  etiology
Kidney Failure, Acute / complications
Middle Aged
Renal Dialysis*
Resuscitation

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