Successful Postnatal Cardiopulmonary Resuscitation Due to Defibrillation

Children

Jasmin Pansy¹  Bernhard Schwaberger¹  Gerhard Pichler¹  Berndt Urlesberger¹  LukasPeter Mileder¹  NicholasMark Morris¹  Stefan Kurath-Koller²  Ante Burmas²  Mirjam Pocivalnik³ 

[1] Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria;Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria;Pediatric Intensive Care Unit, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria;

关键词: neonate;    resuscitation;    ventricular fibrillation;    defibrillation;   

DOI  :  10.3390/children8050421

来源: DOAJ

【 摘 要 】

An asphyxiated term neonate required postnatal resuscitation. After six minutes of cardio-pulmonary resuscitation (CPR) and two doses of epinephrine, spontaneous circulation returned, but was shortly followed by ventricular fibrillation. CPR and administration of magnesium, calcium gluconate, and sodium bicarbonate did not improve the neonate’s condition. A counter shock of five Joule was delivered and the cardiac rhythm immediately converted to sinus rhythm. The neonate was transferred to the neonatal intensive care unit and received post-resuscitation care. Due to prolonged QTc and subsequently suspected long-QT syndrome propranolol treatment was initiated. The neonate was discharged home on day 14 without neurological sequelae.

【 授权许可】

Unknown