Voelckel W, Kroesen G
Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens-University of Innsbruck, Austria.
Resuscitation. 1996 Jul;32(1):27-9. doi: 10.1016/0300-9572(96)00954-9.
Application of sodium bicarbonate is still an option when resuscitation efforts remain unsuccessful. Despite this, there are no recommendations on how long resuscitation should be performed after administration of this drug. Here we describe a case in which prehospital resuscitation efforts were terminated about 35 min after cardiac arrest. Seven minutes after all efforts had been discontinued, spontaneous sinus rhythm appeared from a zero-line ECG, giving normal hemodynamic values. The underlying reason might be unexpected and unrecognized hyperkalemia, which was diminished by administration of sodium bicarbonate, even under the conditions of cardiocirculatory arrest.
当复苏努力仍未成功时，应用碳酸氢钠仍是一种选择。尽管如此，对于使用该药物后应进行多长时间的复苏，尚无相关建议。在此，我们描述一例心脏骤停后约35分钟终止院前复苏努力的病例。在所有努力停止7分钟后，心电图从零基线出现自发窦性心律，血流动力学值正常。潜在原因可能是意外且未被识别的高钾血症，即使在心脏循环骤停的情况下，通过给予碳酸氢钠也使其得到了缓解。
