Therapeutic hypothermia with immunosuppressive drugs for a comatose renal transplant patient who survived out-of-hospital cardiac arrest

详细信息    查看全文

• 作者：Ryosuke Zushi ; MD^a ; ^{zushi136@osaka-mishima.jp} ; Hiroshi Hazui ; MD^a ; Masaaki Hoshiga ; MD ; FJCC^b ; Yoshiki Yagi ; MD^a ; Takuya Goto ; MD^a ; Toshizumi Mori ; MD^a ; Makiko Kawakami ; MD^a ; Isao Nishihara ; MD^a ; Hitoshi Kobata ; MD^a ; Yasuo Ohishi ; MD^a ; Hiroshi Akimoto ; MD^a
• 关键词：Resuscitation ; Ventricular fibrillation ; Compromised host
• 刊名：Journal of Cardiology Cases
• 出版年：2010
• 出版时间：June 2010
• 年：2010
• 卷：1
• 期：3
• 页码：e147-e150
• 全文大小：239 K

文摘

| Figures/TablesFigures/Tables | ReferencesReferences

Summary

A 31-year-old man suddenly collapsed at work. His colleagues witnessed the event, applied basic life support, and called for an ambulance. After the ambulance arrived, the initial rhythm was confirmed as ventricular fibrillation (VF) and he was defibrillated with an automated external defibrillator. Spontaneous circulation was regained at 8 min after collapse. He was thought to be a good candidate for therapeutic hypothermia because he was comatose and had survived outside hospital VF cardiac arrest due to cardiac etiology. However, he was taking immunosuppressive drugs after undergoing a kidney transplant. We obtained written, informed consent from the patient's family to start therapeutic hypothermia at 33.5?4.5 ¡ãC for 48 h, although he was at high risk for such induction. Serious complications and neurological deficits did not develop and the patient was referred to another hospital on day 42 for implantation with a cardioverter defibrillator.