In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 31, No. 9 ( 2020-09), p. 378-383
Abstract:
It is known that chest compression during cardiopulmonary resuscitation (CPR) may cause various complications. The most frequently reported complication of CPR is fractures of rib and sternum. Chest compression may also injure intraperitoneal organs such as liver, spleen, and stomach. We reviewed records of patients admitted to the intensive care unit (ICU) from the emergency room from June 2013 to June 2018 and found two cases of liver laceration caused by CPR. Both cases underwent extracorporeal cardiopulmonary resuscitation (ECPR) but abdominal bleeding from the liver laceration got worse owing to ECMO. We could remove ECMO in both cases, and one case could be conservatively controlled by transfusion, while the other case needed laparotomy. Abdominal ultrasonography or computed tomography is effective to detect complication of CPR. We should pay attention that ECMO could aggravate complication of CPR. At that time, it is important to consider laparotomy or transcatheter arterial embolization (TAE) early.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2020.31.issue-9
Language:
English
Publisher:
Wiley
Publication Date:
2020
detail.hit.zdb_id:
2846771-1
Permalink