| Autor: |
Kluzik, Anna, Gaczkowska, Agnieszka, Rzeźniczek, Piotr, Szymaniak, Maria, Grześkowiak, Małgorzata |
| Předmět: |
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| Zdroj: |
Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo; 2024, Vol. 18 Issue 2, p81-85, 5p |
| Abstrakt: |
We present a case of the Lazarus phenomenon, which is to our knowledge first report from Poland. This is a phenomenon of the heart, which can resume its spontaneous activity and generate circulation. It can happen after ineffective cardiopulmonary resuscitation (CPR) or in a departed person when a resuscitation attempts were not undertaken but a circulation returned spontaneously. The victim was 86 years old woman. She suffered cardiac arrest in a church. The rescuers began CPR, administered one shock and continued pharmacotherapy. After 40 minutes, the CPR was discontinued and death was confirmed. Suddenly after 15 minutes return of spontaneous breathing was recognized. Upon arrival to the hospital her vital signs were: HR 84/min, NIBP 106/70 mmHg, saturation 93%, temperature 36,5 °C. An increase of troponin in repeatable laboratory tests was noticed, but taking into account the extended duration of the cardiac arrest, and the amount of time before CPR was administered as well as patient's age and unfavorable prognosis, the decision was made not to apply any invasive cardiologic intervention. At third day of hospitalization sudden ventricular tachycardia with narrow QRS complexes and destabilization of circulation was observed. At the beginning of a therapy an improvement of a condition of the patient was reported, but later sudden drop in blood pressure appeared with no reaction to the treatment. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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