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Case Report

Open Access

Refractory ventricular fibrillation with prolonged resuscitation in dialysis-sensitive dysrhythmic patient 

  • PAUL PUCHWEIN1
  • SYLVIA ARCHAN2
  • GERNOT WILDNER2
  • RAINER GUMPERT 1
  • WILFRIED HARTWAGNER1

1Department of Traumatology Medical University of Graz

2Department of Anaesthesiology and Intensive Care Medicine Medical University of Graz

DOI: 10.22514/SV51.042010.7 Vol.5,Issue 1,April 2010 pp.44-46

Published: 27 April 2010

*Corresponding Author(s): PAUL PUCHWEIN E-mail: paul.puchwein@medunigraz.at

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Abstract

Sudden cardiac death is a leading cause of death in chronic renal failure patients. We present a case of refractory ventricular fibrillation with successful prolonged resuscitation (> 1 hour) without neurological sequel in an outpatient dialysis centre. Implantation of a cardioverter-defibrillator is able to identify patients as dialysis-sensitive. Smoother potassium removal during hemodialysis could eliminate dysrhythmias. Prehospital (point-of-care) blood gas analysis can be helpful especially in prolonged resuscitation.

Key words

successful resuscitation, ventricular fibrillation, point-of-ca-re, blood gas analysis, potassium, hemodialysis, ICD

Cite And Share

PAUL PUCHWEIN,SYLVIA ARCHAN,GERNOT WILDNER,RAINER GUMPERT ,WILFRIED HARTWAGNER. Refractory ventricular fibrillation with prolonged resuscitation in dialysis-sensitive dysrhythmic patient . Signa Vitae. 2010. 5(1);44-46.

References

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