Key result
Administration of bicarbonate successfully resuscitated a 22-year-old female patient in severe diabetic ketoacidosis after cardiac arrest.
Why the study?
Does bicarbonate administration improve resuscitation in severe diabetic ketoacidosis with cardiac arrest?
Case Report (n=1)
Does bicarbonate administration improve resuscitation in severe diabetic ketoacidosis with cardiac arrest?
Bicarbonate administration may be life-saving in severe diabetic ketoacidosis complicated by cardiac arrest.
May suggest bicarbonate role in refractory DKA arrest; hypothesis-generating from Level 5 evidence and should not change practice.
Summary Although severe acidosis is a life-threatening condition owing to its cerebral and cardiac effects, correction of the acidosis with alkali remains a controversial issue in diabetic ketoacidosis. A 22-year-old female patient in diabetic ketoacidosis who was successfully resuscitated after cardiac arrest is presented and a strong case is made for the administration of bicarbonate in severe cases of diabetic ketoacidosis.
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Soler et al. (1974) conducted a case report in diabetic ketoacidosis (n=1). bicarbonate was evaluated on successful resuscitation after cardiac arrest. Administration of bicarbonate successfully resuscitated a 22-year-old female patient in severe diabetic ketoacidosis after cardiac arrest.
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