Survival After Recurrent Cardiac Arrest and Prolonged Hours of Resuscitation: A Case Report

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DOI: 10.21522/TIJAR.2014.11.04.Art013

Authors : Rajani Sasikumar, Elangho Muthusany

Abstract:

The maximum duration of cardiopulmonary resuscitation remains unknown. Hyperkalemia, hypokalemia, hypovolemia, acidosis, hypoxia, hypothermia, thrombosis-coronary and pulmonary, cardiac tamponade, toxins, and tension pneumothorax are the reversible causes of cardiac arrest. We report a case of successful prolonged resuscitation for cardiac arrest due to severe hyperkalemia and severe metabolic acidosis in a patient with diabetic ketoacidosis. Our patient is unique in that he had multiple long-standing comorbidities in prolonged cardiac arrest with multiple reversible causes, such as hyperkaliemia and severe metabolic acidosis, and was successfully resuscitated. Patients who undergo prolonged CPR can survive with good outcomes. Young age, myocardial infarction, and potentially reversible causes of cardiac arrest such as hypothermia and pulmonary emboli predict favorable results, especially when the arrest is witnessed, followed by prompt and good resuscitative efforts.


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