Successful cardiopulmonary cerebral resuscitation in patient with severe acute pancreatitis

The American Journal of Emergency Medicine
Baiqiang LiWeiqin Li

Abstract

Severe acute pancreatitis (SAP) is a critical illness in clinical practice, which is characterized by intensive inflammatory response in the early phase and infected pancreatic necrosis in the later phase. Despite the knowledge of SAP and critical care support technology got significant progress in recent years, SAP still carries approximately 30%mortality rate. Some SAP patients also have many other kinds of underlying disease such as hyperlipidemia, hypertension, coronary atherosclerotic heart disease, and heart rhythm abnormalities, which are related to cardiopulmonary arrest to some extent. Thus, the incidence of unpredictive cardiopulmonary arrest is high. Recently, a SAP patient in our intensive care unit had sudden cardiac arrest. After 52 minutes of cardiopulmonary resuscitation, she had return of spontaneous circulation and regained consciousness within 2 hours. To our knowledge, there is no successful report after such long resuscitation in SAP patients. She was receiving continuous renal replacement therapy (CRRT) and continuous veno-venous hemofiltration, in the event of cardiopulmonary arrest. No study reported what kind of role CRRT can play when cardiac arrest occurs. Usually, we would stop existing CRRT when car...Continue Reading

References

Sep 16, 2004·JAMA : the Journal of the American Medical Association·Stephen Piwinski
Jan 22, 2008·World Journal of Gastroenterology : WJG·Ibrahim-A Al Mofleh
May 14, 2014·Digestive Diseases and Sciences·Luyao ZhangJieshou Li
Oct 17, 2014·World Journal of Gastroenterology : WJG·Enver Zerem

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