Prolonged pulseless electrical activity: successful resuscitation using extracorporeal membrane oxygenation.

Autor: Huang HW; Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan., Chiu CC; Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan., Yen HH; Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan; College of Medicine, Chung Shan Medical University, Taichung, Taiwan., Chen YL; Department of Cardiovascular Surgery, Changhua Christian Hospital, Changhua, Taiwan., Siao FY; Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan. Electronic address: 57385@cch.org.tw.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2015 Mar; Vol. 33 (3), pp. 474.e5-6. Date of Electronic Publication: 2014 Aug 21.
DOI: 10.1016/j.ajem.2014.08.030
Abstrakt: Pulseless electrical activity (PEA) can rapidly transform into sudden cardiac death, if the etiology cannot be identified and corrected immediately. The clinical challenge is how to resuscitate the patient with prolonged PEA. We present a case of a 51-year-old man with PEA due to acute myocardial infarction caused by total occlusion of the main coronary artery, which was refractory to prolonged conventional cardiopulmonary resuscitation. Extracorporeal membrane oxygenation was initiated approximately 75 minutes after prolonged cardiopulmonary resuscitation; this achieved a sustained return of spontaneous circulation, which permitted adequate time for subsequent coronary intervention. He was discharged on day 16 without any further sequelae or neurologic deficits.
Databáze: MEDLINE
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