INS and cardiac arrest: Before complete cardiac arrest, the surgeon immediately performed chest compressions and sequentially administered intravenous epinephrine 1 mg, sodium bicarbonate 150 ml, insulin 8 IU, lidocaine 100 mg, defibrillation at 360 J, epinephrine 1 mg, calcium chloride 1 g, epinephrine 1 mg, defibrillation at 360 J, epinephrine 1 mg, and insulin 8 IU.