Red alert issued to save female patient who suddenly suffered cardiac arrest and respiratory failure.

On the afternoon of August 25th, information from Can Tho Central General Hospital indicated that doctors at the hospital had just saved the life of a patient who had suffered cardiac arrest and respiratory failure and was in critical condition.

Previously, Can Tho Central General Hospital received information from Can Tho City Obstetrics and Gynecology Hospital reporting the transfer of a 50-year-old female patient from Hau Giang province who had suddenly experienced cardiac arrest and respiratory failure, putting her in critical condition. The diagnosis upon transfer was pulmonary embolism, complicated by circulatory and respiratory arrest; the patient was two days post-surgery for hysteroscopy.

At Can Tho Central General Hospital, the patient was admitted in a coma, requiring manual ventilation via endotracheal tube, with very low blood pressure despite high doses of vasopressors, severe respiratory failure, and severe metabolic acidosis...

The team performed digital subtraction angiography to diagnose the cause of cardiac arrest in the patient.

Fortunately, thanks to the pre-activated inter-hospital emergency response protocol, the emergency procedures at Can Tho Central General Hospital were ready upon patient admission. Following a multidisciplinary consultation, the patient received prompt emergency treatment, including mechanical ventilation and acidosis control. Simultaneously, advanced techniques were performed to diagnose the cause of cardiopulmonary arrest. Coronary angiography results were normal, with no pulmonary embolism or cerebral hemorrhage. Immediately afterward, the patient was transferred to the Intensive Care Unit - Toxicology Department for treatment with a diagnosis of tricuspid valve regurgitation, pulmonary hypertension, septic shock, multiple organ failure, and severe metabolic acidosis.

The patient was also prescribed continuous hemodialysis, a PICCO system for hemodynamic monitoring, treatment for infection, nutritional support, and mechanical ventilation. It took more than 7 days of intensive treatment for the patient's condition to gradually stabilize, overcome the critical stage, discontinue vasopressors, stop continuous hemodialysis, be weaned off the ventilator, and have the endotracheal tube removed successfully. Notably, the patient's consciousness recovered well.

The great success of the resuscitation operation was that the patient suffered no neurological sequelae after cardiac arrest.

Sharing information about the emergency case, Dr. Duong Thien Phuoc, Head of the Intensive Care and Toxicology Department at Can Tho Central General Hospital, said that cardiac arrest is a sudden interruption of the heart's normal blood pumping function, causing a halt in blood flow to the organs. This is a condition with a very high mortality rate of 80-90% and leaves very serious sequelae if not treated correctly and quickly. Statistics in the US show that cardiac arrest occurring outside of a hospital has a mortality rate of over 90%.

The most dangerous consequence is post-cardiac arrest syndrome, a pathological process characterized by three main types of damage: post-cardiac arrest brain damage; post-cardiac arrest myocardial dysfunction; and response to ischemia/systemic reperfusion. The severity of these injuries varies, with brain damage remaining the most common cause of death.

According to Dr. Phuoc, the case was very serious, and the great success was that the patient did not suffer any neurological sequelae after cardiac arrest. This success required many factors, especially the effective implementation of the inter-hospital red alert protocol. This was coupled with the synchronized and effective coordination between different specialties in treating the patient.

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