Is It Lazarus Phenomenon Or Prolonged Effectıve Resuscıtatıon?

Creative Commons License

Tortum F., Tekin E., Özlü İ., Gür A.

8th Intercontınental Emergency Medıcıne Congress., Antalya, Türkiye, 14 - 17 Ekim 2021, ss.562

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.562
  • Atatürk Üniversitesi Adresli: Evet

Özet

INTRODUCTION: The Lazarus phenomenon (LP) is described as delayed return of spontaneous circulation (ROSC) after cessation of cardiopulmonary resuscitation (CPR). LP isn’t rare, it is probably under reported. In this report, we aimed to present a case in which spontaneous circulation returned after prolonged CPR and was discharged with complete neurological recovery.

CASE: A 17-year-old male patient was brought to our emergency department by 112 emergency medical team. CPR was started by the healthcare worker who was with him during the arrest.The patient was unconscious, GCS:3 points, pupillary dilated, minimal light reflex was positive at the time of admission. Blood pressure and pulse could not be taken. CPR was contiuned during 30 minutes. Pulse couldn’t be taken. Termination of CPR was considered. A few minutes later while taking the patient’s pulse control and last ECG rhythm detected as VF then VT. Spontaneous breathing returned while the patient was defibrillated. In the follow-ups, the patient was discharged with good neurologic outcome and cardiomyopathy diagnosis.

DISCUSSION: In this case, we consider the LP in the patient whose spontaneous circulation returned after prolonged CPR, but we also think that the ROSC may be the result of effective CPR.

KEYWORDS: cardiopulmonary resuscitation (CPR), Lazarus phenomenon, resuscitation