Page 15 - ACCF Essentia | Vol. III | Issue 3 | June 2024

Managing Cardiac Arrest in a Cancer Patient
Managing Cardiac Arrest in a Cancer Patient
with Multiple and Complex Co - morbidities
with Multiple and Complex Co - morbidities

Dr (Maj) Debashish Das
Dr (Maj) Debashish Das
Consultant Intensivit
Consultant Intensivit
Barpeta Cancer Centre
Barpeta Cancer Centre
Dr (Maj) Debasish Das is a Consultant Anesthesiologist and Intensivist at Barpeta
Dr (Maj) Debasish Das is a Consultant Anesthesiologist and Intensivist at Barpeta
Cancer Center. He earned his MBBS from Trivandrum Medical College in 2006 and
Cancer Center. He earned his MBBS from Trivandrum Medical College in 2006 and
completed his junior residency in Pediatrics at Tripura Medical College, serving
completed his junior residency in Pediatrics at Tripura Medical College, serving
from 2007 to 2009. Dr Das joined the Indian Army in 2009, serving until 2014, and
from 2007 to 2009. Dr Das joined the Indian Army in 2009, serving until 2014, and
subsequently completed his MD in Anesthesia at Army Hospital R&R, New Delhi in
subsequently completed his MD in Anesthesia at Army Hospital R&R, New Delhi in
2018.
2018.
Following his MD, Dr Das pursued a senior residency at VMMC & Safdarjung
Following his MD, Dr Das pursued a senior residency at VMMC & Safdarjung
Hospital, New Delhi, from 2018 to 2019. He then worked as an anesthesiologist in the
Hospital, New Delhi, from 2018 to 2019. He then worked as an anesthesiologist in the
Neurosurgical Unit at AGMC, Agartala, where he managed over 300 neurosurgical
Neurosurgical Unit at AGMC, Agartala, where he managed over 300 neurosurgical
cases during his three-year tenure. He also served as a Consultant Anesthesiologist
cases during his three-year tenure. He also served as a Consultant Anesthesiologist
and Medical Superintendent at Woodland WK Hospital, Jowai, Meghalaya, before
and Medical Superintendent at Woodland WK Hospital, Jowai, Meghalaya, before
joining Barpeta Cancer Center.
joining Barpeta Cancer Center.
emale
f
f
65-year-old female patient with a case of
6
5-year-old
p
atient with a case o
ht to
e IV was brou
g
ACarcinoma Lung stage IV was brought to
i
C
g
sta
arc
noma Lun
g
our centre in a critical condition with dif culty
our centre in a critical condition with di f cult y
sed
eneral
i
n
g
, mentally unstable and
g
n speak
i in speaking, mentally unstable and generalised
i
o
w
f

ad
w
as
r furth
e
ess
ed
mitt
kn
weakness. She was admitted for further
. Sh
ea
r
e
dia g nostic ndin g and mana g
diagnostic nding and management.ement.
During her hospital stay, patient had
Durin g her hospital stay, patient had
symptomatically improved and responded
sy mp tomaticall y im pr oved and res po nded
positively until the reveal of MRI Brain report
po sitive ly until the reveal of MRI Brain r ep ort
p
resence o
brain
f
f
ound with
where she was found with presence of brain
where she was
t
me
mets.
s.
She gradually started to develop other
She gradually started to develop other
symptoms of labile blood pressure, breathing
symptoms of labile blood pressure, breathing
dif culty, low GCS level, severe anaemia,
dif culty, low GCS level, severe anaemia,

hypernatremia, and hyperglycaemia. She
hypernatremia, and hyperglycaemia. She
was then promptly informed and shifted
was then promptly informed and shifted
to the ICU. At the time of initial assessment
to the ICU. At the time of initial assessment
and management she collapsed. CPR was
and management she collapsed. CPR was
immediately initiated by following ACLS
immediately initiated by following ACLS
i
g
Pat
i
n the ICU
ent be
treated
i
n
protocol.
protocol. Patient being treated in the ICU

The picture signi es that the patient had
The picture signi es that the patient had
revived but required Inotropes for further failure, severe anaemia, and correction of
revived but required Inotropes for further
failure, severe anaemia, and correction of
management. This case was challenging
management. This case was challenging electrolyte imbalance over and above the high
electrolyte imbalance over and above the high
because the patient required attention from
because the patient required attention from blood sugar as well as post cardiac arrest care.
blood sugar as well as post cardiac arrest care.
multiple fronts like management of respiratory
multiple fronts like management of respiratory
y
(2012) theme:
World Cancer Da
World Cancer Day (2012) theme:
15
“Together let’s do something”
“Together let’s do something”