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Canadian Journal of Anesthesia, Vol 8, 561-567, Copyright © 1961 by Canadian Anesthesiologists' Society

Management after Cardiac Arrest

W. A. DODDS M.D.1, LEONARD C. JENKINS M.D., F.R.C.P.(C)1, and LEWIS W. HERSEY M.D.2

1 Department of Anaesthesia, Vancouver General Hospital and the University of British Columbia, Vancouver, B.C.
2 Department of Anaesthesia, Vancouver General Hospital, Vancouver, B.C.

On the basis of six selected cases from a larger clinical series, a method of management after cardiac arrest has been described. Fatalities are primarily related to central nervous system damage, Clinical manifestations of this damage present as neurological sequelae such as hyperpyrexia, persisting unconsciousness, dilated pupils, absence of spontaneous respirations and convulsions. The use of intravenous urea (1 gm./Kg.) and deliberately induced, controlled hypothermia has been valuable in the prevention of irreversible central nervous system. The judicious use of sedative agents such as meperidine, promethazine, phenobarbital, diphenylhydantoin sodium, thiopentone and paraldehyde has been shown to be a valuable adjunct to hypothermia and in control of convulsion.

Note:

Presented at the Annual Meeting, Canadian Anaesthetists' Society, May 15–18, 1961.






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Copyright © 1961 by the Canadian Anesthesiologists' Society.