[Multi-recurrent cardiac arrest: when to discontinue cardiopulmonary resuscitation?].
A 52-year-old man developed an out-of-hospital cardiac arrest complicating a myocardial infarction. After prolonged cardiopulmonary resuscitation, he was admitted to an intensive care unit, where 25 episodes of cardiac arrests occurred within a few hours. Finally the outcome was favourable. This case raises the question of the duration a cardiopulmonary resuscitation in case of out-of-hospital and in-hospital cardiac arrest. The question is to determine how long resuscitation efforts must be prolonged after recurrent cardiac arrests.
Perpoint
T
T
Service de réanimation, CHG de Villefranche-sur-Saône, France.
Peillon
D
D
Chambost
M
M
David
G
G
Royon
O
O
Combe
C
C
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D016887:Cardiopulmonary Resuscitation; D003128:Coma / Q000209:etiology; D003131:Combined Modality Therapy; D003325:Coronary Care Units; D003422:Critical Care; D004298:Dopamine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D004554:Electric Countershock; D004837:Epinephrine / Q000627:therapeutic use; D005066:Euthanasia, Passive; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005392:First Aid; D015600:Glasgow Coma Scale; D006323:Heart Arrest / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D012008:Recurrence; D012025:Reflex, Pupillary; D006435:Renal Dialysis; D017693:Sodium Bicarbonate / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology / Q000628:therapy
D000889:Anti-Arrhythmia Agents; D005343:Fibrinolytic Agents; D006993:Hypnotics and Sedatives; D017693:Sodium Bicarbonate; D008012:Lidocaine; D010959:Tissue Plasminogen Activator; D004298:Dopamine; D004837:Epinephrine