PROLONGED ASYSTOLIC HYPERKALEMIC CARDIAC-ARREST WITH NO NEUROLOGIC SEQUELAE

被引：38

作者：

QUICK, G ^{[1
]}

BASTANI, B ^{[1
]}

机构：

[1] ST LOUIS UNIV,MED CTR,DIV EMERGENCY MED,ST LOUIS,MO 63103

来源：

ANNALS OF EMERGENCY MEDICINE | 1994年 / 24卷 / 02期

关键词：

D O I：

10.1016/S0196-0644(94)70144-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We report the case of a 70-year-old man who developed cardiac arrest secondary to hyperkalemia that complicated severe chronic renal failure due to obstructive uropathy. The patient experienced electromechanical dissociation and approximately 26 minutes of asystole after which the resuscitation was suspended. However, 8 to 10 minutes after declaration of death, the patient was noted to have developed spontaneous return of circulation as the emergency department personnel were preparing to transport him to the morgue. The patient survived and was discharged without apparent neurologic sequelae. This case demonstrates the challenges facing physicians to predict the outcome of hyperkalemic cardiac arrest based on usual parameters. It also highlights the relative paucity of resuscitation guidelines to assist in the management of this medical emergency.

引用

页码：305 / 311

页数：7

共 38 条

[1]

Mercer, Logic, Cardiac arrest due to hyperkalemia following intravenous penicillin administration, Chest, 64, pp. 358-359, (1973)

[2]

Packer, Lee, Provocation of hyper- and hypokalemic sudden death during treatment with and withdrawal of converting-enzyme inhibition in severe chronic congestive heart failure, Am J Cardiol, 57, pp. 347-348, (1986)

[3]

Hultgren, Swenson, Wettach, Cardiac arrest due to oral potassium administration, Am J Med, 58, pp. 139-142, (1975)

[4]

Kallen, Rieger, Cohen, Et al., Near-fatal hyperkalemia due to ingestion of salt substitute by an infant, JAMA, 235, pp. 2125-2126, (1976)

[5]

Hickey, Harrison, Ramsay, Et al., Hyperkalemic cardiac arrest following intravenous hydralazine and propranolol therapy post-embolectomy, Can Anaesth Soc J, 33, pp. 379-381, (1986)

[6]

Thomas, Circulatory collapse following succinylcholine, Anesth Analg, 48, pp. 333-337, (1969)

[7]

Baker, Wagner, Hemenway, Succinylcholine-induced hyperkalemia and cardiac arrest, Autolaryng, 96, pp. 464-465, (1972)

[8]

Brooke, Donovon, Stolov, Paraplegia : Succinylcholine-induced hyperkalemia and cardiac arrest, Arch Phys Med Rehabil, 59, pp. 306-309, (1978)

[9]

Bostic, Duvernoy, Hyperkalemic cardiac arrest during transfusion of stored blood, J Electrocardiol, 5, pp. 407-409, (1972)

[10]

LeVeen, Posternack, Lustrin, Et al., Hemorrhage and transfusion as the major cause of cardiac arrest, JAMA, 173, pp. 770-777, (1960)

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