title: Survival after prolonged resuscitation from cardiac arrest due to diabetic ketoacidosis using extracorporeal life support.
abstract: Management of cardiac arrest due to severe diabetic ketoacidosis (DKA) using bicarbonate therapy and extracorporeal life support (ECLS) remains controversial. We report a case of a 24-year-old man with insulin-dependent type 1 diabetes mellitus who survived without any neurologic complications after prolonged ECLS (including fluid resuscitation and insulin but no aggressive bicarbonate) for cardiac arrest due to severe DKA. In post-DKA cardiac arrest, insulin and fluid resuscitation is the mainstay of treatment, but ECLS should be considered when prolonged cardiac arrest is expected.
authors: Department of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center. hifumitoru@gmail.com
authors: Toru
authors: T
authors: Hifumi
authors: Nobuaki
authors: N
authors: Kiriu
authors: Hiroshi
authors: H
authors: Kato
authors: Junichi
authors: J
authors: Inoue
authors: Yuichi
authors: Y
authors: Koido
mesh_terms: D003131:Combined Modality Therapy; D016883:Diabetic Ketoacidosis / Q000150:complications*; D005112:Extracorporeal Circulation; D005440:Fluid Therapy; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D012151:Resuscitation / Q000379:methods*; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin