Beyond 5Hs and 5Ts: a rare cause of cardiac arrest

Kuan, Kaibin Kelvin; Rahalkar, Kshitij

doi:10.11622/smedj.2021120

Cited by 1 publication

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References 4 publications

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“…The major factors contributing to cardiac arrest are 5Hs and 5Ts, including hypovolaemia, hypoxia, hydrogen ion (acidosis), hyper-/hypokalaemia, hypothermia, toxins, cardiac tamponade, tension pneumothorax, coronary thrombosis, and pulmonary thrombosis. 7 There was evidence of several reasons, such as hyperkalemia and PE in this case. 8 Because the content of potassium in fat cells is adequate, 9 potassium is very likely to increase during the liposuction procedure.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Cardiac Arrest During Liposuction: A Case Report

Shu,

Zhou,

2024

Plastic and Reconstructive Surgery - Global Open

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Background: With the popularity of liposuction surgery, more awareness should be obtained regarding complications. Liposuction has been thought of as a safe procedure with a very low incidence of major complications. However, life-threatening risks of liposuction have rarely been reported. Methods: We present a case of a 36-year-old woman who developed cardiac arrest during a liposuction procedure, and we present a literature review. Results: She was previously healthy and had no risk factors for pulmonary embolism. The diagnosis was made based on clinical presentation and the presence of an electrolyte disorder and a positive sign on computed tomography pulmonary angiogram (CTPA). Mild hypothermia treatment, symptomatic treatment, and supportive therapy were applied. As the respiratory and circulation were smooth, she was discharged to a rehabilitation hospital. Seven months after discharge, the patient was still in a coma with eye opening. Conclusions: Spinal anesthesia, pulmonary embolism, and hyperkalemia are the most probable contributors to the cardiac arrest observed during the liposuction procedure in this specific case. There is a heightened imperative to vigilantly monitor for critical incidents during these operations and to meticulously identify associated risk factors during liposuction.

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Section: Discussionmentioning

confidence: 99%