Delayed recovery of spontaneous circulation following cessation of cardiopulmonary resuscitation in an older patient: a case report.
Identifieur interne : 001C53 ( PubMed/Corpus ); précédent : 001C52; suivant : 001C54Delayed recovery of spontaneous circulation following cessation of cardiopulmonary resuscitation in an older patient: a case report.
Auteurs : Yili Huang ; Sijun Kim ; Amishi Dharia ; Aleksander Shalshin ; Jan DauerSource :
- Journal of medical case reports [ 1752-1947 ] ; 2013.
Abstract
This report describes the apparent 'resurrection' of a patient in an emergency department setting. Befittingly named the 'Lazarus phenomenon', the recovery of spontaneous circulation after cessation of cardiopulmonary resuscitation is an extremely rare occurrence that was first described in 1982 and has been mentioned only 38 times in the medical literature. Our patient's case is remarkable in that it helps illustrate many of the mechanisms of this rare phenomenon. It also serves as a reminder of our limitations in determining when to terminate cardiopulmonary resuscitation and suggests that cessation of cardiopulmonary resuscitation should be approached with more care.
DOI: 10.1186/1752-1947-7-65
PubMed: 23497724
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Delayed recovery of spontaneous circulation following cessation of cardiopulmonary resuscitation in an older patient: a case report.</title><author><name sortKey="Huang, Yili" sort="Huang, Yili" uniqKey="Huang Y" first="Yili" last="Huang">Yili Huang</name><affiliation><nlm:affiliation>Yale University School of Medicine, New Haven, CT, USA. Yili.Huang@yale.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sijun" sort="Kim, Sijun" uniqKey="Kim S" first="Sijun" last="Kim">Sijun Kim</name></author><author><name sortKey="Dharia, Amishi" sort="Dharia, Amishi" uniqKey="Dharia A" first="Amishi" last="Dharia">Amishi Dharia</name></author><author><name sortKey="Shalshin, Aleksander" sort="Shalshin, Aleksander" uniqKey="Shalshin A" first="Aleksander" last="Shalshin">Aleksander Shalshin</name></author><author><name sortKey="Dauer, Jan" sort="Dauer, Jan" uniqKey="Dauer J" first="Jan" last="Dauer">Jan Dauer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23497724</idno><idno type="pmid">23497724</idno><idno type="doi">10.1186/1752-1947-7-65</idno><idno type="wicri:Area/PubMed/Corpus">001C53</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Delayed recovery of spontaneous circulation following cessation of cardiopulmonary resuscitation in an older patient: a case report.</title><author><name sortKey="Huang, Yili" sort="Huang, Yili" uniqKey="Huang Y" first="Yili" last="Huang">Yili Huang</name><affiliation><nlm:affiliation>Yale University School of Medicine, New Haven, CT, USA. Yili.Huang@yale.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Sijun" sort="Kim, Sijun" uniqKey="Kim S" first="Sijun" last="Kim">Sijun Kim</name></author><author><name sortKey="Dharia, Amishi" sort="Dharia, Amishi" uniqKey="Dharia A" first="Amishi" last="Dharia">Amishi Dharia</name></author><author><name sortKey="Shalshin, Aleksander" sort="Shalshin, Aleksander" uniqKey="Shalshin A" first="Aleksander" last="Shalshin">Aleksander Shalshin</name></author><author><name sortKey="Dauer, Jan" sort="Dauer, Jan" uniqKey="Dauer J" first="Jan" last="Dauer">Jan Dauer</name></author></analytic><series><title level="j">Journal of medical case reports</title><idno type="ISSN">1752-1947</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This report describes the apparent 'resurrection' of a patient in an emergency department setting. Befittingly named the 'Lazarus phenomenon', the recovery of spontaneous circulation after cessation of cardiopulmonary resuscitation is an extremely rare occurrence that was first described in 1982 and has been mentioned only 38 times in the medical literature. Our patient's case is remarkable in that it helps illustrate many of the mechanisms of this rare phenomenon. It also serves as a reminder of our limitations in determining when to terminate cardiopulmonary resuscitation and suggests that cessation of cardiopulmonary resuscitation should be approached with more care.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">23497724</PMID><DateCreated><Year>2013</Year><Month>03</Month><Day>27</Day></DateCreated><DateCompleted><Year>2013</Year><Month>03</Month><Day>28</Day></DateCompleted><DateRevised><Year>2014</Year><Month>07</Month><Day>14</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">1752-1947</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><PubDate><Year>2013</Year><Month>Mar</Month><Day>12</Day></PubDate></JournalIssue><Title>Journal of medical case reports</Title><ISOAbbreviation>J Med Case Rep</ISOAbbreviation></Journal><ArticleTitle>Delayed recovery of spontaneous circulation following cessation of cardiopulmonary resuscitation in an older patient: a case report.</ArticleTitle><Pagination><MedlinePgn>65</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1752-1947-7-65</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">This report describes the apparent 'resurrection' of a patient in an emergency department setting. Befittingly named the 'Lazarus phenomenon', the recovery of spontaneous circulation after cessation of cardiopulmonary resuscitation is an extremely rare occurrence that was first described in 1982 and has been mentioned only 38 times in the medical literature. Our patient's case is remarkable in that it helps illustrate many of the mechanisms of this rare phenomenon. It also serves as a reminder of our limitations in determining when to terminate cardiopulmonary resuscitation and suggests that cessation of cardiopulmonary resuscitation should be approached with more care.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">An 89-year-old Caucasian woman with a medical history of hypertension, atrial fibrillation, hypothyroidism, aortic insufficiency, lymphedema and hypoxia secondary to partial lung resection presented to our hospital after a witnessed fall unassociated with head trauma or loss of consciousness. On examination, our patient was saturating at 85 percent and exhibited a decreased range of motion of the upper extremities and left hip. Radiographic images revealed a left femoral neck and left distal radius fracture. Our patient was stabilized on 100 percent fraction of inspired oxygen and was awaiting transfer to an in-patient unit when, at 3:30 a.m., she went into cardiac arrest. An advanced cardiac life support protocol was initiated, at which time our patient was intubated and administered epinephrine, vasopressin and sodium bicarbonate. Our patient remained unresponsive and asystolic so cardiopulmonary resuscitation was abandoned at 3:48 a.m. After five minutes a ventricular contraction was noted at 3:51 a.m. This progressed to sinus rhythm with a pulse at 3:53 a.m. Our patient was stabilized on norepinephrine and moved to our Intensive Care Unit. At 10:55 a.m., however, our patient again arrested and, despite resuscitative efforts, was pronounced dead at 11:03 a.m.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our patient's case clearly illustrates many of the proposed mechanisms for delayed return of spontaneous circulation including pulmonary hyper-inflation, hyperkalemia, delayed drug onset, and embolism dislodgement. Our patient represents a humbling and disturbing reminder that our medical acumen does not necessarily dictate the fate of our patients and that the decision to discontinue cardiopulmonary resuscitation should be approached with care by incorporating techniques such as end-tidal carbon dioxide, ventilator disconnect and passive monitoring.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Yili</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Yale University School of Medicine, New Haven, CT, USA. Yili.Huang@yale.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Sijun</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Dharia</LastName><ForeName>Amishi</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Shalshin</LastName><ForeName>Aleksander</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Dauer</LastName><ForeName>Jan</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>03</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Med Case Rep</MedlineTA><NlmUniqueID>101293382</NlmUniqueID><ISSNLinking>1752-1947</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 1996 Aug 29;335(9):674</RefSource><PMID Version="1">8692250</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Anaesth Intensive Care. 1991 Feb;19(1):118-21</RefSource><PMID Version="1">2012271</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Resuscitation. 1996 Jul;32(1):27-9</RefSource><PMID Version="1">8809916</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Anesthesiology. 1998 Nov;89(5):1252-3</RefSource><PMID Version="1">9822016</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Injury. 2006 Oct;37 Suppl 4:S68-73</RefSource><PMID Version="1">16990063</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J R Soc Med. 2007 Dec;100(12):552-7</RefSource><PMID Version="1">18065707</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Crit Care Med. 2010 May;38(5):1246-53</RefSource><PMID Version="1">20228683</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Anaesthesia. 2001 Feb;56(2):145-54</RefSource><PMID Version="1">11167474</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Intern Med. 1983 May;98(5 Pt 1):593-7</RefSource><PMID Version="1">6846973</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nursing. 2011 Apr;41(4):72</RefSource><PMID Version="1">21403514</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cardiol J. 2011;18(3):233-45</RefSource><PMID Version="1">21660912</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Chang Gung Med J. 2000 Sep;23(9):555-9</RefSource><PMID Version="1">11092145</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cutis. 1986 Jul;38(1):52-5</RefSource><PMID Version="1">3731870</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Orthop Relat Res. 1990 Dec;(261):281-6</RefSource><PMID Version="1">2245559</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Orthopedics. 1996 Jan;19(1):41-8; discussion 48-9</RefSource><PMID Version="1">8771112</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3601021</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>06</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>01</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23497724</ArticleId><ArticleId IdType="pii">1752-1947-7-65</ArticleId><ArticleId IdType="doi">10.1186/1752-1947-7-65</ArticleId><ArticleId IdType="pmc">PMC3601021</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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