Unexpected Fatal Hypernatremia after Successful Cardiopulmonary Resuscitation with Therapeutic Hypothermia: A Case Report
Journal of Korean Medical Science
; : 329-331, 2012.
Article
in En
| WPRIM
| ID: wpr-226774
Responsible library:
WPRO
ABSTRACT
Central diabetes insipidus (DI), characterized by unexpected fatal hypernatremia, is a rare complication after successful cardiopulmonary resuscitation with therapeutic hypothermia, but may be potentially fatal if recognition is delayed. We describe here a patient who experienced cardiac arrest due to a pulmonary embolism, followed by successful resuscitation after induction of therapeutic hypothermia. The patient, however, suddenly developed unexpected hypernatremia with increased urine output and was diagnosed with central DI as a complication of cerebral edema, and eventually died. Our findings suggest that central DI should be considered as a possible complication following unexpected hypernatremia with increased urine output during therapeutic hypothermia and that desmopressin acetate should be used to treat central DI.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pulmonary Embolism
/
Cardiopulmonary Resuscitation
/
Fatal Outcome
/
Diabetes Insipidus, Neurogenic
/
Heart Arrest
/
Hypernatremia
/
Hypothermia, Induced
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2012
Document type:
Article