A technique revisited: Hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation

Boczar, ME; Howard, M.H.; Rivers, EP; Martin, GB; Horst, HM; Lewandowski, Christopher; Tomlanovich, Michael C.; Nowak, RM

doi:10.1016/0300-9572(96)83756-7

Cited by 15 publications

(17 citation statements)

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“…1 Open transdiaphragmatic compressions have also been described to atraumatically access the heart for rapid, effective cardiac massage 11 in patients with failed ACLS to increase coronary perfusion pressure. 12 Aggarwal et al 13 first defined PRS as a drop in the MAP by over 30% from baseline, lasting at least 1 minute and occurring within the first 5 minutes following reperfusion, and may be associated with asystole or malignant arrhythmias and fibrinolysis. The incidence of PRS has been quoted to be between 12% and 77% 14,15 and despite numerous studies, few universal risk factors or effective predictors have been elucidated.…”

Section: Discussionmentioning

confidence: 99%

Prolonged Intraoperative Cardiac Resuscitation Complicated by Intracardiac Thrombus in a Patient Undergoing Orthotopic Liver Transplantation

Kim

DeMaría

Cohen

et al. 2016

Semin Cardiothorac Vasc Anesth

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We report the case of successful resuscitation after prolonged cardiac arrest during orthotopic liver transplantation. After reperfusion, the patient developed ventricular tachycardia, complicated by intracardiac clot formation and massive hemorrhage. Transesophageal echocardiography demonstrated stunned and nonfunctioning right and left ventricles, with developing intracardiac clots. Treatment with heparin, massive transfusion and prolonged cardiopulmonary resuscitation ensued for 51 minutes. Serial arterial blood gases demonstrated adequate oxygenation and ventilation during cardiopulmonary resuscitation. Cardiothoracic surgery was consulted for potential use of extracorporeal membrane oxygenation, however, the myocardial function improved and the surgery was completed without further intervention. On postoperative day 6, the patient was extubated without neurologic or cardiac impairment. The patient continues to do well 2 years posttransplant, able to perform independent daily activities of living and his previous job. This case underscores the potential for positive outcomes with profoundly prolonged, effective advanced cardiovascular life support in patients who experience postreperfusion syndrome.

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Section: Discussionmentioning

confidence: 99%

Prolonged Intraoperative Cardiac Resuscitation Complicated by Intracardiac Thrombus in a Patient Undergoing Orthotopic Liver Transplantation

Kim

DeMaría

Cohen

et al. 2016

Semin Cardiothorac Vasc Anesth

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“…Various other approaches have been used for improving outcomes in the setting of cardiac arrest. Cardiopulmonary bypass (21), extracorporeal membrane oxygenation, extracorporeal life support (20), and open chest cardiac massage (45) have been investigated and results have indicated possible clinical potential. However, these methods are technically complicated; some require major surgical intervention and thus are less suited for rapid use in a critical situation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous left ventricular assist in ischemic cardiac arrest

Tuseth

Salem²,

Pettersen³

et al. 2009

Critical Care Medicine

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“…Pottle reported 72 patients who had open chest CPR after cardiac surgery, of whom 46% regained spontaneous circulation. Boczar et al [101] studied 10 patients brought into hospital with a witnessed cardiac arrest. After 5 min of closed chest CPR they were declared unsalvageable and entered into the study.…”

Section: Internal Versus External Cardiac Massagementioning

confidence: 99%

Guideline for resuscitation in cardiac arrest after cardiac surgery

Dunning

Fabbri

Kolh³

et al. 2009

European Journal of Cardio-Thoracic Surgery

156

120

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The Clinical Guidelines Committee of the European Association for Cardio-Thoracic Surgery provides this professional view on resuscitation in cardiac arrest after cardiac surgery. This document was created using a multimodal methodology for evidence generation including the extrapolation of existing guidelines from the International Liaison Committee on Resuscitation where possible, our own structured literature reviews on issues particular to cardiac surgery, an international survey on resuscitation hosted by CTSNet and manikin simulations of potential protocols. This protocol differs from existing generic guidelines in a number of areas, the most import of which are the following: successful treatment of cardiac arrest after cardiac surgery is a multi-practitioner activity with six key roles that should be allocated and rehearsed on a regular basis; in ventricular fibrillation, three sequential attempts at defibrillation (where immediately available) should precede external cardiac massage; in asystole or extreme bradycardia, pacing (where immediately available) should precede external cardiac massage; where the above measures fail, and in pulseless electrical activity, early resternotomy is advocated; adrenaline should not be routinely given; protocols for excluding reversible airway and breathing complications and for safe emergency resternotomy are given. This guideline is subject to continuous informal review, and when new evidence becomes available.

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A technique revisited: Hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation

Cited by 15 publications

References 0 publications

Prolonged Intraoperative Cardiac Resuscitation Complicated by Intracardiac Thrombus in a Patient Undergoing Orthotopic Liver Transplantation

Prolonged Intraoperative Cardiac Resuscitation Complicated by Intracardiac Thrombus in a Patient Undergoing Orthotopic Liver Transplantation

Percutaneous left ventricular assist in ischemic cardiac arrest

Guideline for resuscitation in cardiac arrest after cardiac surgery

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