This case report demonstrates successful reversion to sinus rhythm after an extraordinary 221 defibrillations and propranolol administration during a perioperative cardiac arrest.
Such extreme resuscitation may achieve temporary rhythm control; leaves open whether propranolol merits investigation in refractory VF.
A case of cardiac arrest during the operation of prostatectomy is described. Two hundred and twenty-one defibrillations were subsequently performed, with final reversion to sinus rhythm after the administration of propranolol. The patient recovered well from the cardiac arrest and fibrillations but died three months later of complications resulting from a tracheo-œsophageal fistula. The literature on tracheo-œsophageal fistula following intermittent positive pressure respiration through a tracheostomy tube is reviewed.
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Gurubatham et al. (1969) studied this question.
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