Closed-Chest Cardiac Massage for Circulatory Arrest

Kaplan, Benjamin M.

doi:10.1001/archinte.1964.03860070051002

Cited by 38 publications

(11 citation statements)

References 11 publications

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“…In our pooled analysis, the incidence of post-resuscitation rib fractures was 31.2%, with a higher incidence noted for both suction cup based ACD-CPR devices and standard CPR followed by ACD-CPR compared to standard CPR alone (Table 3). 5–8, 10, 15, 16, 19–22, 25, 28, 33, 46, 48–56 Multiple rib fractures (29.2%), 8, 11, 16, 19, 51, 54 bilateral fractures, 54 and flail chest 21, 46, 51, 57 occurred frequently as well. Although the overall pooled incidence of flail chest was 1.7%, flail chest has been reported to occur at a rate of 5.6 per 100 survivors of CPR.…”

Section: Resultsmentioning

confidence: 98%

“…5, 6, 8, 10, 11, 16, 18–20, 33, 55 A common yet often unrecognized complication is pulmonary bone marrow or fat emboli which has a pooled incidence of 19.2% in autopsy series of CPR non-survivors. 5, 7, 16, 19, 21, 28, 46, 63 The clinical significance of this type of injury as well as the incidence amongst CPR survivors has not been clearly described.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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OBJECTIVE The incidence of thoracic injuries resulting from cardiopulmonary resuscitation (CPR) is not well characterized. We describe a case in which a CPR-associated atrial rupture was identified with ultrasound and successfully managed in the intensive care unit with a bedside thoracotomy and atrial repair. We then describe a systematic review with pooled data analysis of CPR-associated cardiovascular, pulmonary, pleural, and thoracic wall injuries. DATA SOURCES PubMed, Scopus, EMBASE, and Web of Science were searched to identify relevant published studies. Unpublished studies were identified by searching the Australian and New Zealand Clinical Trials Registry, World Health Organization International Clinical Trials Registry Platform, Cochrane Library, ClinicalTrials.gov, Current Controlled Trials, and Google. STUDY SELECTION Inclusion criteria for the pooled analysis were any clinical or autopsy study in which a) patients underwent cardiopulmonary resuscitation, b) chest compressions were administered either manually or with the assistance of active compression-decompression devices, and c) autopsy or dedicated imaging assessments were conducted to identify complications. Exclusion criteria for the pooled analysis were pre-clinical studies, case reports and abstracts. DATA EXTRACTION Nine-hundred twenty-eight potentially relevant references were identified. Twenty-seven references met inclusion criteria. DATA SYNTHESIS A systematic review of the literature is provided with pooled data analysis. CONCLUSIONS The incidence of reported CPR-associated cardiovascular and thoracic wall injuries varies widely. CPR with active compression-decompression devices has a higher reported incidence of cardiopulmonary injuries. Bedside ultrasound may be a useful adjunct to assess and risk-stratify patients to identify serious or life-threatening CPR-associated injuries.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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“…В поодиноких випадках вна-слідок проведення непрямого масажу серця можли-ве утворення ушкоджень інших кісток грудної клітки. Так в літературі описані випадки ушкоджень ключиці, лопаток, хребців грудного відділу хребта [6,16,18].…”

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Forensic Aspects of Mecanicel Injuries Associated with Cardiopulmonary Resuscitation

Varfolomeyev¹

2016

Ukr. ž. med. bìol. sportu

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“…Many authors have since furthered the knowledge and understanding of the management of cardiac arrest, and large series describing resuscitation have been published (Ayers and Doyle, 1962;Gilston, 1965;Head, Hudson, Head, and Head, 1962;Jude, Kouwenhoven, and Knickerbocker, 1961;Kaplan and Knott, 1964;Klassen, Broadhurst, Peretz, and Johnson, 1963;Lawrence, Haley, and Gillies, 1964;Lillehei, Lavadia, DeWall, and Sellers, 1965;Saphir, 1968). Most reporters stress the relationship between the length of the resuscitative effort and the prognosis.…”

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confidence: 99%

“…Most reporters stress the relationship between the length of the resuscitative effort and the prognosis. A fairly accurate prognosis of the resuscitation can be made after 30 minutes of external cardiac massage and artificial ventilation without the return of a spontaneous peripheral pulse (Kaplan and Knott, 1964), but individual reports of prolonged successful resuscitations (Lillehei et al, 1965) preclude dogmatic generalizations. The reported survival rate for those patients who needed recurrent attempts at resuscitation varies from low (Ayers and Doyle, 1962;Gilston, 1965) to none (Saphir, 1968).…”

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confidence: 99%

Successful prolonged resuscitation after open heart surgery

Stein

Rubin

Merin

et al. 1971

Thorax

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Five selected cases of successful prolonged resuscitation (up to 16 hours) after open heart surgery are presented. Four had undergone prosthetic valve insertion, two being double replacements. External cardiac massage did not produce any demonstrable damage to the heart or the implanted valve prostheses, the competent prostheses probably assuring the haemodynamic effectiveness of the massage. Intermittent positive pressure breathing via an endotracheal tube providing 100% oxygen was begun immediately in all cases. The continuous monitoring of blood pressure through an intra-arterial cannula during resuscitation was of great value. It indicated the minimum amount of force that had to be applied to obtain satisfactory perfusion and enabled frequent arterial blood sampling for pH and blood gas analyses. Thus

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Closed-Chest Cardiac Massage for Circulatory Arrest

Cited by 38 publications

References 11 publications

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

Forensic Aspects of Mecanicel Injuries Associated with Cardiopulmonary Resuscitation

Successful prolonged resuscitation after open heart surgery

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