Continuous renal replacement therapy may aid recovery after cardiac arrest.
We report on the case of a patient who suffered a cardiac arrest in ventricular fibrillation (VF), leading to a decerebrate state, who made a rapid complete neuronal recovery following the institution of continuous renal replacement therapy (CRRT). Continuous veno-venous haemodiafiltration (CVVHDF) was used; the patient remained haemodynamically stable. Flexor responses were seen after 1 1/2 h and the patient regained consciousness within 3 h. There were no complications associated with the procedure except some minor gastric bleeding, which did not need any specific therapy.
Karnad
V
V
Criticare Center, 461, Bhavani Mandap, Kolhapur 416012, Maharashtra State, India. vijaykarnad@yahoo.com
Thakar
B
B
D048909:Diabetes Complications; D015314:Dialysis Solutions / Q000627:therapeutic use; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D017583:Hemodiafiltration; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications; D010530:Peritoneal Dialysis; D011654:Pulmonary Edema / Q000150:complications; D020127:Recovery of Function; D000077325:Ringer's Lactate; D014693:Ventricular Fibrillation / Q000150:complications / Q000628:therapy
D015314:Dialysis Solutions; D007552:Isotonic Solutions; D000077325:Ringer's Lactate