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

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.

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

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