Digital Journal of Science (DJS)
Features of Resuscitation That are Worth Mentioning: How Long Can Resuscitation Reasonably Be Carried Out?
Nephrologisches Zentrum Hennef -Erfurtstr. 33, D-53757 St. Augustin, Germany
*Corresponding Author: Dr. med. Gerd Helmecke, Nephrologisches Zentrum Hennef -Erfurtstr. 33, D-53757 St. Augustin, Germany.
DOI: 10.63592/DJS/129
Abstract
Current resuscitation guidelines provide a structured framework for emergency interventions, yet they cannot account for every clinical nuance, particularly in seemingly hopeless cases. Drawing from extensive firsthand experience in intensive care and emergency medicine, this article presents two cases of prolonged resuscitation exceeding 90 minutes, culminating in full recovery without cerebral deficits. Both cases demonstrated successful defibrillation only after intravenous administration of potassium chloride, following exhaustion of standard therapeutic measures. These experiences suggest that, provided effective cardiac massage and ventilation are maintained, the window for successful resuscitation can be far wider than commonly assumed. Furthermore, in cases of persistent asystole, rapid deployment of a temporary pacemaker may offer an additional lifesaving measure. This article argues for greater flexibility and clinical judgment during resuscitation efforts, emphasizing that strict adherence to protocols alone may limit patient survival opportunities.
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