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. 2023 Sep-Oct;30(5):e426-e432.
doi: 10.1097/MJT.0000000000001571. Epub 2022 Dec 26.

High-Dose Insulin for Hyperkalemic Cardiac Arrest

Mohammed A Shikhooun  1 , Loai A Abdulhadi  2 , Wael M Yafes  3 , Moataz R Saleh  4 , Sue Anne Corsentino  5 , Enrique J Pantin  6
Affiliations

High-Dose Insulin for Hyperkalemic Cardiac Arrest

Mohammed A Shikhooun et al. Am J Ther. 2023 Sep-Oct.

Abstract

Hyperkalemic cardiac arrest diagnosis can be elusive and management difficult as the cardiac rhythm restoration is often not achieved until the potassium level decreases to a relatively normal level for the patient who suffers the arrest. Current treatment modalities can take hours to achieve this goal. We describe two patients who survived a witnessed hyperkalemic cardiac arrest after being managed with conventional advanced cardiac life support and unconventionally high doses of intravenous insulin.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

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