Colon ischaemia and necrosis as a complication of prolonged but successful CPR.
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.
Stockman
Willem
W
Department of Anaesthesia, Critical Care Services, Pain Therapy and Palliative Care, H.-Hart Hospital, 8800 Roeselare, Belgium. wstockman@hhr.be
De Keyser
Jan
J
Brabant
Steven
S
Spoelders
Kurt
K
Vuylsteke
Patrick
P
Beeuwsaert
Reinold
R
Coppé
Eric
E
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
D000322:Adrenergic Agonists; D000889:Anti-Arrhythmia Agents; D014662:Vasoconstrictor Agents; D014667:Vasopressins; D000638:Amiodarone; D004837:Epinephrine