A case of traumatic liver and spleen injuries after cardiopulmonary resuscitation by mechanical chest compression device, AutoPulse<SUP>®</SUP>

Abstract

A 73-year-old female was transferred to our hospital with respiratory distress, and suffered a cardiac arrest (CA) after her arrival. We immediately started cardiopulmonary resuscitation (CPR), during which we use a mechanical chest compression device, the AutoPulse ® (Asahi Kasei ZOLL Medical Corporation). We diagnosed the patient with a CA caused by a pulmonary thromboembolism. Although her hemodynamics were well maintained following the return of spontaneous circulation, they suddenly became unstable 15 hours after her admission to the ICU. Then, progressive anemia was detected. Abdominal ultrasonography and CT revealed injuries to the liver and spleen and multiple rib fractures; hence, we diagnosed the patient with hypovolemic shock. We performed splenectomy and coagulative hemostasis for the liver laceration. Conclusion: It was suggested that the shifting of the AutoPulse ® band to the caudal side due to the patient's obesity (BMI 38 kg/m 2), might have caused these complications. When using mechanical chest compression devices, clinicians should be familiar with its characteristics, and must take care to avoid complications.

Splenic injury caused by cardiopulmonary resuscitation in a full stomach with hematoma after hemorrhagic shock due to bleeding duodenal ulcer: A case report

“…Manual and mechanical chest compressions have similar complications 1 Splenic injury as a complication of CPR, is reported with manual chest compressions by paramedics 9 or bystanders 10 and with mechanical chest compressions. 9 , 11 Incorrect hand position during chest compressions may be a risk factor 12 ; therefore, appropriate position and strength are crucial to prevent complications. Our patient had in‐hospital cardiac arrest, and CPR by BLS/ACLS providers, ensuring suitable technique.…”