Lazarus Syndrome — Challenges Created by Pediatric Autoresuscitation
| Autor: | Zoe Elizabeth Sara Roberts, Laura Owens, Sabine Maguire, Stephen Mullen, David Tuthill, Johann te Water Naude |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Resuscitation
medicine.medical_specialty 030204 cardiovascular system & hematology Return of spontaneous circulation 03 medical and health sciences 0302 clinical medicine medicine Humans Child Pediatric intensive care unit business.industry Infant 030208 emergency & critical care medicine Syndrome General Medicine Emergency department medicine.disease Cardiopulmonary Resuscitation Heart Arrest Lazarus syndrome Cardio-pulmonary resuscitation Pediatrics Perinatology and Child Health Emergency medicine Emergency Medicine Return of Spontaneous Circulation Emergency Service Hospital business Neurological impairment Venous return curve |
| Zdroj: | Pediatric Emergency Care. |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0000000000001593 |
| Popis: | Pediatric autoresuscitation is extremely rare, with only 4 documented cases in the literature. The longest recorded time between stopping cardio pulmonary resuscitation (CPR) and return of spontaneous circulation is 2 minutes. We report a previously well 18-month-old who attended the emergency department after an unexplained cardiac arrest. After 10 cycles of CPR, resuscitation was stopped; 6 minutes later, the patient had a return of spontaneous circulation and was transferred to the pediatric intensive care unit. The patient remains alive but with significant neurological impairment. There are a variety of theories regarding the pathology of pediatric autoresuscitation. The most commonly accepted model is that there is a degree of autopositive end-expiratory pressure impending venous return as a consequence of vigorous ventilation during CPR. This case challenges clinicians to reassess our current definition of death and reaffirms the need for clearer guidelines surrounding the certification of death. |
| Databáze: | OpenAIRE |
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