title: Colon ischaemia and necrosis as a complication of prolonged but successful CPR.
abstract: Survival after prolonged cardiopulmonary resuscitation (CPR) is often associated with neurological and other sequelae. We describe a patient who survived prolonged cardiac arrest due to ventricular fibrillation neurologically intact but suffered colon ischaemia and necrosis in the post-resuscitation period. Subtotal colectomy was performed. We wonder whether this complication was related to the use of vasopressin.
authors.affiliation: Department of Anaesthesia, Critical Care Services, Pain Therapy and Palliative Care, H.-Hart Hospital, 8800 Roeselare, Belgium. wstockman@hhr.be
authors.forename: Willem
authors.initials: W
authors.lastname: Stockman
authors.forename: Jan
authors.initials: J
authors.lastname: De Keyser
authors.forename: Steven
authors.initials: S
authors.lastname: Brabant
authors.forename: Kurt
authors.initials: K
authors.lastname: Spoelders
authors.forename: Patrick
authors.initials: P
authors.lastname: Vuylsteke
authors.forename: Reinold
authors.initials: R
authors.lastname: Beeuwsaert
authors.forename: Eric
authors.initials: E
authors.lastname: Coppé
mesh_terms: D000322:Adrenergic Agonists / Q000627:therapeutic use; D000328:Adult; D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects*; D003082:Colectomy; D003106:Colon / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery; D004554:Electric Countershock; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D013997:Time Factors; D014662:Vasoconstrictor Agents / Q000627:therapeutic use; D014667:Vasopressins / Q000627:therapeutic use; D014693:Ventricular Fibrillation / Q000628:therapy
chemical_list: D000322:Adrenergic Agonists; D000889:Anti-Arrhythmia Agents; D014662:Vasoconstrictor Agents; D014667:Vasopressins; D000638:Amiodarone; D004837:Epinephrine