Ephedrine in treatment of cardiac arrest
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Dosyalar
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Ireland Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Sir,
A 52-year-old man was in shock because of non-
variceal upper gastrointestinal bleeding due to
liver cirrhosis. The patient developed a bradycar-
dia with a blood pressure of 40 systolic and then
went into cardiac arrest. The traches was intu-
bated and the patient ventilated with 100% oxy-
gen. The conventional inotropic drugs (1 mg bolus
atropine during bradycardia period and then 1 mg
bolus adrenaline five times) and external chest
compressions restored haemodynamics for 0.5 h.
After admission to the intensive care unit a cen-
tral line was placed in the femoral vein. Despite
giving intravenous adrenaline 0.1 g/kg/min, and
an infusion of dopamine 20 g/kg/min, the patient
continued in electro mechanical dissociation. After
five subsequent 1 mg boluses of adrenaline five and
manual external chest compression, the patient
became asystolic and with no episodes of fibrilla-
tion. At that time 50 mg ephedrine was given as a
bolus. Sinus rhythm returned for 15 min but then
disappeared. Further efforts failed and the patient
was declared dead
Açıklama
Anahtar Kelimeler
Ephedrine
Kaynak
Resuscitation
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
72
Sayı
1
