Prolonged cardiopulmonary resuscitation with preservation of cerebral function in an elderly patient with asystole after electroconvulsive therapy.
This case report describes a patient who became asystolic after electroconvulsive therapy. The report describes the prolonged resuscitative events that lasted 54 minutes and discusses the effectiveness of chest compressions and the importance of monitoring the acid-base balance. The report also stresses the importance of being able to establish effective cardiac pacing in this patient. The updated resuscitation guidelines published by the American Heart Association are also discussed.
Gabrielli
Andrea
A
Department of Anesthesiology, College of Medicine, University of Florida, Gainesville, FL 32610-0254, USA.
Layon
A J
AJ
Cole
Perry
P
Holbert
Richard
R
Modell
Jerome H
JH
D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000503:physiopathology*; D016887:Cardiopulmonary Resuscitation; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D006323:Heart Arrest / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans; D008297:Male; D013997:Time Factors