[Successful resuscitation of intractable hyperkalemic cardiac arrest].

Abstract

We report on a 42-year-old oliguric uremic man on regular hemodialysis who developed sudden cardiac arrest, secondary to severe hyperkalemia, with a plasma potassium concentration of 9.7 mEq x l(-1). The cardiac arrest persisted after the initiation of cardiopulmonary resuscitation and intensive treatment for marked hyperkalemia for an hour and 55 minutes. Therefore a portable percutaneous cardiopulmonary support (PCPS) system had to be instituted while the patient had very prolonged refractory ventricular fibrillation. His cardiac rhythm was restored immediately after application of PCPS and he recovered without neurological sequelae. We therefore suggest that PCPS should be considered as a therapeutic option during cardiopulmonary resuscitation for life-threatening cardiac arrest secondary to severe hyperkalemia.

• Authors: Osamu Tanaka, Hanae Akai, Sayoko Takekida, Mikiko Wake, Yasushi Tanaka, Katsuhiro Iijima, Yoshio Horikawa, Kazuko Ijichi
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 55 Issue 5 Pg. 617-9 (May 2006) ISSN: 0021-4892 [Print] Japan
• PMID: 16715920 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Cardiopulmonary Resuscitation (methods)
• Heart Arrest (etiology, therapy)
• Heart Massage
• Heart-Lung Machine
• Humans
• Hyperkalemia (complications)
• Kidney Failure, Chronic (complications, therapy)
• Male
• Renal Dialysis