High-Dose Insulin for Hyperkalemic Cardiac Arrest.

Autor: Shikhooun MA; Department of Anesthesia, El Galaa Military Medical Complex, El-Orouba, Sheraton Al Matar, El Nozha, Cairo Governorate, Egypt., Abdulhadi LA; Intensive Care, National Heart Institute, Agouza, Giza Governorate, Egypt., Yafes WM; Cardiothoracic Surgery Department, El Galaa Military Medical Complex, El-Orouba, Sheraton Al Matar, El Nozha, Cairo Governorate, Egypt., Saleh MR; Intensive Care, Mahalla Cardiac Center, El Mahalla El Kobra, El Gharbeya, Egypt., Corsentino SA; Cardiovascular Surgery, Robert Wood Johnson University Hospital, New Brunswick, NJ; and., Pantin EJ; Department of Anesthesiology and Perioperative Medicine, Robert Wood Johnson University Hospital, New Brunswick, NJ.
Jazyk: angličtina
Zdroj: American journal of therapeutics [Am J Ther] 2023 Sep-Oct 01; Vol. 30 (5), pp. e426-e432. Date of Electronic Publication: 2022 Dec 26.
DOI: 10.1097/MJT.0000000000001571
Abstrakt: Abstract: Hyperkalemic cardiac arrest diagnosis can be elusive and management difficult as the cardiac rhythm restoration is often not achieved until the potassium level decreases to a relatively normal level for the patient who suffers the arrest. Current treatment modalities can take hours to achieve this goal. We describe two patients who survived a witnessed hyperkalemic cardiac arrest after being managed with conventional advanced cardiac life support and unconventionally high doses of intravenous insulin.
Competing Interests: The authors have no conflicts of interest to declare.
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Databáze: MEDLINE