Gülcü, Nebahat2021-06-232021-06-2320070300-9572https://doi.org/10.1016/j.resuscitation.2006.08.013https://hdl.handle.net/20.500.12491/6175Sir, 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 deadeninfo:eu-repo/semantics/closedAccessEphedrineLetter10.1016/j.resuscitation.2006.08.013721164164171264732-s2.0-33845430406Q1WOS:000243663600025Q1