Document Detail

Outcomes of severe hyperkalemia in cardiopulmonary resuscitation with concomitant hemodialysis.
MedLine Citation:
PMID:  8046123     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate the efficacy of hemodialysis during cardiopulmonary resuscitation as an effective adjunct to the treatment of severe hyperkalemia. DESIGN: A prospective study. SETTING: In hospital dialysis units and intensive care units. PATIENTS: Renal failure patients who developed hyperkalemia induced cardiac arrest and failed to recover from conventional cardiopulmonary resuscitation (CPR) were included. Three patients entered into this study: 2 patients with chronic renal failure maintained on regular hemodialysis and one with acute renal failure who suffered from severe hyperkalemia. INTERVENTIONS: All three patients developed asystolic cardiac arrest with unrecordable blood pressure due to severe hyperkalemia. Aggressive CPR together with intravenous epinephrine, sodium bicarbonate and calcium chloride were instituted. External cardiac massage with cardiac defibrillation was unable to restore spontaneous heart action. After lack or response to intensive resuscitation, hemodialysis was performed concomitant with CPR to eliminate the potassium load. MEASUREMENTS AND RESULTS: Sinus rhythm and blood pressure were restored in all 3 patients but one of them eventually succumbed to her underlying disease. CONCLUSION: Hemodialysis during CPR is probably an effective adjunct to the treatment of severe hyperkalemia in patients with severe hemodynamic compromise and asystolic cardiac arrest.
J L Lin; P S Lim; M L Leu; C C Huang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  20     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1994  
Date Detail:
Created Date:  1994-08-30     Completed Date:  1994-08-30     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:  287-90     Citation Subset:  IM    
Division of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
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MeSH Terms
Cardiopulmonary Resuscitation*
Combined Modality Therapy
Fatal Outcome
Heart Arrest / epidemiology,  etiology,  therapy
Hyperkalemia / complications,  epidemiology,  therapy*
Kidney Failure, Chronic / complications,  epidemiology,  therapy
Middle Aged
Prospective Studies
Renal Dialysis*

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