Successful Post-Resuscitation Care in End-Stage Renal Disease Patients: A Case Report

Authors

  • Merry Emergency Department, Prima Medika Hospital, Denpasar, Indonesia
  • Made Septyana Parama Adi Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia
  • I Gusti Agung Gede Utara Hartawan Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia
  • I Gusti Ngurah Mahaalit Aribawa Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia
  • I Putu Fajar Narakusuma Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia
  • I Gusti Agung Made Wibisana Kurniajaya Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia

DOI:

https://doi.org/10.37275/jacr.v6i1.673

Keywords:

End-stage renal disease, Post-cardiac arrest, Resuscitation guideline, Targeted temperature management

Abstract

Introduction: Cardiac arrest in end-stage renal disease (ESRD) patients presents unique challenges due to their complex medical conditions. Post-resuscitation care for these patients requires careful management of various factors, including hemodynamic instability, electrolyte imbalances, and fluid overload. This case report describes the successful post-resuscitation care of an ESRD patient who experienced cardiac arrest and achieved a return of spontaneous circulation (ROSC).

Case presentation: A 50-year-old female with ESRD on hemodialysis (HD) presented with acute dyspnea and cardiac arrest. After 8 minutes of cardiopulmonary resuscitation (CPR), ROSC was achieved. The patient was managed with a comprehensive post-resuscitation care protocol, including brain resuscitation (targeted temperature management, ventilation optimization, and hemodynamic control) and sustained low-efficiency dialysis for fluid balance. Despite the severity of her condition, the patient showed significant neurological recovery and was successfully extubated after 7 days of mechanical ventilation. She was discharged after 12 days with follow-up for her chronic conditions.

Conclusion: This case highlights the importance of individualized management strategies for ESRD patients post-cardiac arrest, including the need for prolonged resuscitation and careful monitoring to improve patient outcomes.

Authors

  • Merry1*
  • Made Septyana Parama Adi2
  • I Gusti Agung Gede Utara Hartawan2
  • I Gusti Ngurah Mahaalit Aribawa2
  • I Putu Fajar Narakusuma2
  • I Gusti Agung Made Wibisana Kurniajaya2
  1. 1Emergency Department, Prima Medika Hospital, Denpasar, Indonesia
  2. 2Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia

Corresponding author Merry — merryyhwanngg@gmail.com

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Published

2024-12-20

Issue

Vol. 6 No. 1 (2025): Journal of Anesthesiology and Clinical Research

Section

Articles

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How to Cite

Successful Post-Resuscitation Care in End-Stage Renal Disease Patients: A Case Report. (2024). Journal of Anesthesiology and Clinical Research, 6(1), 759-770. https://doi.org/10.37275/jacr.v6i1.673

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