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KMID : 0356919770100010023
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Korean Journal of Anesthesiology
1977 Volume.10 No. 1 p.23 ~ p.27
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Blood Gas Study and Diefibrillation of Ventricular Fibrillation-A Case Report--
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柳昌秀/Ryoo, Chang Soo
閔炳佑/朴大源/李相華/Min, Byung Woo/Park, Dae Won/Lee, Sang Hwa
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Abstract
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Cardiac arrest is the most serious problem during anesthesia and surgery. Whether the heart is in ventricular fibrillation, in asystole or in EMD, the ABCD´S of CPR must always be used.
The authors have experience with cardiac arrest obviously due to the complexities of vagovagal reflexs and severe electrolyte imbalance, especially in potassium ions.
After the diagnosis of ventricular fibrillation in our case by continuous ECG monitoring, immediate closed chest cardiac massage was carried out and the essential drugs and a DC defibrillator were used. At the first attempt, the normal sinus rhythm was restored immediately after 100 jcules of DC conutershock were give. We then gave another 200 J. of a second shock for recurrent VF. Therafter, complete normal sinus rhythm was restored without dysrhythm of any kind.
Simultaneously the authors also several times observed changes of arterial blood gases and pH. About hen hours later the patient regainded consciousness completely without complications.
If possible, continuous ECG monitoring during anesthesia is highly recommended because various dysrhythmias can be detected by this system.
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