Successfully saved a case of out-of-hospital cardiorespiratory arrest

On September 7, the Northern Mountainous Region General Hospital of Quang Nam (Da Nang city) announced that it had successfully saved a case of out-of-hospital respiratory and circulatory arrest.

Earlier, at 11:30 AM on August 31st, a 39-year-old male patient named NVH was admitted to the Emergency Department of the Northern Quang Nam Regional General Hospital in a state of cardiac arrest, respiratory arrest, cyanosis throughout the body, and undetectable pulse. The on-duty team quickly intubated him, performed cardiopulmonary resuscitation, and defibrillated.

After more than 30 minutes of resuscitation efforts, the patient's heartbeat returned. Doctors diagnosed the patient with: "Acute myocardial infarction complicated by arrhythmia (ventricular fibrillation) and cardiopulmonary arrest." Immediately afterward, the patient was placed on mechanical ventilation and maintained on vasopressors and antiarrhythmic drugs.

This was identified as a critically severe case of acute myocardial infarction: blood pressure plummeted to 70/50 mmHg despite simultaneous use of three high-dose vasopressors, and there was continuous ventricular arrhythmia. The patient was urgently transferred to the Cardiovascular Intervention Unit for emergency coronary angiography. The coronary angiography results showed complete occlusion of the proximal anterior interventricular artery.

The intervention team quickly placed a stent to reopen the blocked coronary artery within 15 minutes. After successful recanalization, the patient continued treatment in the Intensive Care and Toxicology Unit, where test results showed severe metabolic acidosis accompanied by acute renal failure – a consequence of cardiopulmonary arrest.

The patient continued to receive mechanical ventilation, vasopressors, antiarrhythmic drugs, and continuous renal replacement therapy (CRRT). Following intensive and effective treatment, the patient's condition gradually improved.

More than 20 hours after admission, the patient was weaned off the ventilator, the dose of vasopressors was reduced, they could breathe oxygen independently, were more alert, and could communicate. By September 3rd, the patient had no more chest pain or shortness of breath, was fully conscious, and could walk around gently.

Source: https://baodanang.vn/cuu-thanh-cong-truong-hop-ngung-tuan-hoan-ho-hap-ngoai-vien-3301284.html