Ephedrine in treatment of cardiac arrest

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Küçük Resim

Tarih

2007

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

Künye