Year : 2010  |  Volume : 4  |  Issue : 1  |  Page : 31-34

Cardiac arrest in intensive care unit: Case report and future recommendations

1 Specialist Registrar in Anesthesia, Nottingham City Hospital, Nottingham, United Kingdom
2 Consultant Anaesthetist and Intensivist, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, United Kingdom

Correspondence Address:
N Zafar
35 Russell Drive Nottingham
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-354X.62613

Rights and Permissions

Initiation of hemofiltration in a patient in septic shock can cause hemodynamic compromise potentially leading to cardiac arrest. We propose that the standard '4Hs and 4Ts' approach to the differential diagnosis of a cardiac arrest should be supplemented in critically ill patients with anaphylaxis and human and technical errors involving drug administration (the 5 th H and T). To illustrate the point, we report a case where norepinephrine infused through a central venous catheter (CVC) was being removed by the central venovenous hemofiltration (CVVH) catheter causing the hemodynamic instability. CVVH has this potential of interfering with the systemic availability of drugs infused via a closely located CVC.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded345    
    Comments [Add]    
    Cited by others 3    

Recommend this journal