Successful resuscitation from ventricular fibrillation in Bland-White-Garland Syndrome in adulthood – A case report

This case report describes the successful management of a patient with diabetic ketoacidosis, who developed torsades de pointes leading to nine cardiac arrests secondary to intravenous fluconazole administration on a background of hypokalaemia and hypocalcaemia.

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TREATMENT OF VENTRICULAR FIBRILLATION WITH POTASSIUM CHLORIDE: SUCCESSFUL RESUSCITATION IN A SEVERELY BURNED PATIENT

Plastic & Reconstructive Surgery ◽

10.1097/00006534-195712000-00002 ◽

1957 ◽

Vol 20 (6) ◽

pp. 437-448 ◽

Cited By ~ 1

Author(s):

JEROME W. CRAFT ◽

ROBERT M. McCORMACK ◽

W ANDREW DALE

Keyword(s):

Ventricular Fibrillation ◽

Potassium Chloride ◽

Successful Resuscitation ◽

Burned Patient

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The dependence of successful resuscitation on electrocardiographically documented cardiac rhythm in case of out-of-hospital cardiac arrest

Medicina ◽

10.3390/medicina43100102 ◽

2007 ◽

Vol 43 (10) ◽

pp. 798 ◽

Cited By ~ 4

Author(s):

Nedas Jasinskas ◽

Dinas Vaitkaitis ◽

Vidas Pilvinis ◽

Lina Jančaitytė ◽

Gailutė Bernotienė ◽

...

Keyword(s):

Cardiac Arrest ◽

Ventricular Fibrillation ◽

Cardiac Rhythm ◽

Sudden Cardiac Arrest ◽

Spontaneous Circulation ◽

Consensus Conference ◽

Successful Resuscitation ◽

Initial Rhythm ◽

Hospital Deaths ◽

One Year

Objective. To determine the influence of electrocardiographically documented cardiac rhythm during sudden cardiac arrest on successful resuscitation among out-of-hospital deaths in Kaunas city. Material and methods. An observational prospective study was conducted between 1 January, 2005, and 30 December, 2005, in Kaunas city with a population of 360 627 inhabitants. In this period, all cases of cardiac arrest were analyzed according to the guidelines of the Utstein consensus conference. Cardiac arrest (both of cardiac and noncardiac etiology) was confirmed in 72 patients during one year. Effective cardiopulmonary resuscitation was performed in 18 patients. Results. The total number of deaths from all causes in Kaunas during 1-year study period was 6691. Sixty-two patients due to sudden death of cardiac etiology were resuscitated by emergency medical services personnel. Return of spontaneous circulation was achieved in 11 patients. Ventricular fibrillation was observed in 33 (53.2%) patients. Asystole was present in 11 (17.7%) and other rhythms in 18 (29.1%) cases. Patients with ventricular fibrillation as an initial rhythm were more likely to be successfully resuscitated than patients with asystole. Conclusions. Ventricular fibrillation was the most common electrocardiographically documented cardiac rhythm registered during cardiac arrest in out-of-hospital settings. Ventricular fibrillation as a mechanism of cardiac arrest was associated with major cases of successful resuscitation.

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Unexplained increase in serum digoxin: a case report

Clinical Chemistry ◽

10.1093/clinchem/40.3.487 ◽

1994 ◽

Vol 40 (3) ◽

pp. 487-492 ◽

Cited By ~ 8

Author(s):

M H Doolittle ◽

K Lincoln ◽

S W Graves

Keyword(s):

Atrial Fibrillation ◽

Cardiac Arrest ◽

Cardiac Surgery ◽

Case Report ◽

Ventricular Fibrillation ◽

Postoperative Period ◽

High Serum ◽

Serum Digoxin ◽

Repeated Analysis ◽

Analytical Approaches

Abstract We describe a patient with unexpectedly high serum digoxin after cardiac surgery. To control atrial fibrillation in the immediate postoperative period, she was given a brief trial of digoxin (four 0.25-mg doses) over 12 h. Serum digoxin 6 h later was 2.5 micrograms/L. Two days later, the patient developed ventricular fibrillation, which progressed to cardiac arrest. During or immediately after resuscitation, blood was drawn for a digoxin measurement, and the concentration reported was 9.3 micrograms/L; this result was verified by repeated analysis. Digoxin decreased rapidly and progressively to near 4.0 micrograms/L over the next several hours and thereafter decreased slowly to 1.0 microgram/L over the next 11 days, despite no digoxin being administered. The unexpectedly high digoxin raised questions about the accuracy of the digoxin measurement, particularly about the possible influence of the digoxin-like immunoreactive factor. Analytical approaches to distinguishing true digoxin from this factor and other artifacts of digoxin measurement were applied to this patient, with unanticipated results.

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