Document Detail


Persistent Ventricular Fibrillation during Therapeutic Hypothermia and Prolonged High-dose Vasopressor Therapy: Case Report.
MedLine Citation:
PMID:  19682824     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Recent emphasis on high quality prehospital cardiopulmonary resuscitation has resulted in more out-of-hospital cardiac arrest victims surviving to the emergency department. As such, standardized in-hospital post-cardiac arrest care is necessary to assure optimal neurological recovery. Although therapeutic hypothermia has arisen as a key component in the post-cardiac arrest care paradigm, its interaction with other therapies remains poorly defined. Objective: The purpose of this communication is to demonstrate a potential interaction between therapeutic hypothermia and routinely administered resuscitation medications. Case Report: We present a case of idiopathic ventricular fibrillation in a previously healthy 36-year-old man who developed persistent ventricular fibrillation in the setting of mild therapeutic hypothermia and high doses of routine resuscitation medications. Conclusion: This case illustrates the importance of understanding the potential interaction between therapeutic hypothermia and resuscitation medications along with the need for a systematic and standardized, multi-disciplinary approach to post-cardiac arrest care.
Authors:
Joshua C Poles; Tyler F Vadeboncoeur; Bentley J Bobrow
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2009-8-12
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  -     ISSN:  -     ISO Abbreviation:  J Emerg Med     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-8-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Kansas City University of Medicine and Biosciences, Kansas City, Missouri.
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