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Case Reports in Emergency Medicine
Volume 2012 (2012), Article ID 380905, 3 pages
http://dx.doi.org/10.1155/2012/380905
Case Report

An Intraoperative Case of Spontaneous Restoration of Circulation from Asystole: A Case of Lazarus Phenomenon

1MSc Program in “Cardiopulmonary Resuscitation”, School of Medicine, University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece
2Department of Anaesthesiology, “Thriassio” General Hospital of Elefsina, Gennimata Avenue, 19600 Magoula, Greece
3Intensive Care Unit, “Thriassio” General Hospital of Elefsina, Gennimata Avenue, 19600 Magoula, Greece
4Department of Anatomy, School of Medicine, University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece

Received 9 October 2011; Accepted 27 October 2011

Academic Editors: E. Kagawa and H. P. Wu

Copyright © 2012 Konstantinos A. Ekmektzoglou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report refers to a victim of intraoperative cardiac arrest, who restored spontaneous circulation despite of cessation of cardiopulmonary resuscitation (CPR). The victim, a 53-year-old man, was undergoing a surgical investigation and rehabilitation of a thigh hematoma. Two minutes after discontinuation of a 46 min CPR, a normotensive sinus node rhythm appeared at monitor. Despite of lack of an adequate explanation, the authors believe that the combination of the high total dose of adrenaline with the cessation of mechanical ventilation might augment venous return and lead to restoration of spontaneous circulation.