Document Detail

Unexpected return of cardiac action after termination of cardiopulmonary resuscitation.
MedLine Citation:
PMID:  8809916     Owner:  NLM     Status:  MEDLINE    
Application of sodium bicarbonate is still an option when resuscitation efforts remain unsuccessful. Despite this, there are no recommendations on how long resuscitation should be performed after administration of this drug. Here we describe a case in which prehospital resuscitation efforts were terminated about 35 min after cardiac arrest. Seven minutes after all efforts had been discontinued, spontaneous sinus rhythm appeared from a zero-line ECG, giving normal hemodynamic values. The underlying reason might be unexpected and unrecognized hyperkalemia, which was diminished by administration of sodium bicarbonate, even under the conditions of cardiocirculatory arrest.
W Voelckel; G Kroesen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  32     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  27-9     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens-University of Innsbruck, Austria.
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MeSH Terms
Cardiopulmonary Resuscitation*
Heart Arrest / etiology,  therapy*
Hemodynamics / physiology
Hyperkalemia / drug therapy*
Middle Aged
Myocardial Contraction* / physiology
Sodium Bicarbonate / therapeutic use*
Time Factors
Reg. No./Substance:
144-55-8/Sodium Bicarbonate

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