Lazarus Syndrome - Challenges Created by Pediatric Autoresuscitation.
Pediatr Emerg Care
; 37(4): e210-e211, 2021 Apr 01.
Article
in En
| MEDLINE
| ID: mdl-30211836
ABSTRACT
ABSTRACT Pediatric autoresuscitation is extremely rare, with only 4 documented cases in the literature. The longest recorded time between stopping cardio pulmonary resuscitation (CPR) and return of spontaneous circulation is 2 minutes. We report a previously well 18-month-old who attended the emergency department after an unexplained cardiac arrest. After 10 cycles of CPR, resuscitation was stopped; 6 minutes later, the patient had a return of spontaneous circulation and was transferred to the pediatric intensive care unit. The patient remains alive but with significant neurological impairment. There are a variety of theories regarding the pathology of pediatric autoresuscitation. The most commonly accepted model is that there is a degree of autopositive end-expiratory pressure impending venous return as a consequence of vigorous ventilation during CPR. This case challenges clinicians to reassess our current definition of death and reaffirms the need for clearer guidelines surrounding the certification of death.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cardiopulmonary Resuscitation
/
Heart Arrest
Type of study:
Etiology_studies
/
Guideline
Limits:
Child
/
Humans
/
Infant
Language:
En
Journal:
Pediatr Emerg Care
Journal subject:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Year:
2021
Document type:
Article