Cardiac arrest in intensive care unit: case report and future recommendations
SJA-Saudi Journal of Anaesthesia. 2010; 4 (1): 31-34
in English
| IMEMR
| ID: emr-129133
ABSTRACT
Initiation of hemofiltration in a patient in septic shock can cause hemodynamic compromise potentially leading to cardiac arrest. We propose that the standard '4Hs and 4Ts' approach to the differential diagnosis of a cardiac arrest should be supplemented in critically ill patients with anaphylaxis and human and technical errors involving drug administration [the 5th H and T]. To illustrate the point, we report a case where norepinephrine infused through a central venous catheter [CVC] was being removed by the central venovenous hemofiltration [CVH] catheter causing the hemodynamic instability. CVVH has this potential of interfering with the systemic availability of drugs infused via a closely located CVC
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Catheterization, Central Venous
/
Norepinephrine
/
Hemofiltration
/
Intensive Care Units
/
Medication Errors
Type of study:
Case report
Limits:
Humans
Language:
English
Journal:
Saudi J. Anaesth.
Year:
2010
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