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Oksar M, Turhanoglu S. Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?. Case Rep Anesthesiol. 2016;2016:3158015doi: 10.1155/2016/3158015.
Oksar, M., & Turhanoglu, S. (2016). Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?. Case reports in anesthesiology, 20163158015. https://doi.org/10.1155/2016/3158015
Oksar, Menekse, and Turhanoglu, Selim. "Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?." Case reports in anesthesiology vol. 2016 (2016): 3158015. doi: https://doi.org/10.1155/2016/3158015
Oksar M, Turhanoglu S. Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?. Case Rep Anesthesiol. 2016;2016:3158015. doi: 10.1155/2016/3158015. Epub 2016 Feb 11. PMID: 26981288; PMCID: PMC4766314.
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Case Rep Anesthesiol. 2016;2016:3158015. doi: 10.1155/2016/3158015. Epub 2016 Feb 11.

Is It Possible to Maintain Consciousness and Spontaneous Ventilation with Chest Compression in the Early Phase of Cardiac Arrest?.

Case reports in anesthesiology

Menekse Oksar, Selim Turhanoglu

Affiliations

  1. Department of Anesthesiology and Reanimation, Mustafa Kemal University Faculty of Medicine, 31100 Hatay, Turkey.

PMID: 26981288 PMCID: PMC4766314 DOI: 10.1155/2016/3158015

Abstract

Chest compression is important in cardiopulmonary resuscitation. However, life support algorithms do not specify when chest compression should be initiated in patients with persistent spontaneous normal breathing in the early phase after cardiac arrest. Here we describe the case of a 69-year-old man who underwent femoral bypass surgery and was extubated at the end of the procedure. After extubation, the patient's breathing pattern and respiratory rate were normal. The patient subsequently developed ventricular fibrillation, evident on two monitors. Because defibrillation was ineffective, chest compression was initiated even though the patient had spontaneous normal breathing and defensive motor reflexes, which were continued throughout resuscitation. He regained consciousness and underwent tracheal extubation without neurological sequelae on postoperative day 1. This case highlights the necessity of chest compression in the early phase of cardiac arrest.

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