Chest compressions in an infant with osteogenesis imperfecta type II: No new rib fractures.
The case report of a newborn female with osteogenesis imperfecta type II who underwent cardiopulmonary resuscitation (CPR) with manual chest compressions for several minutes is presented. Chest radiographs taken before and after the chest compressions were administered were reviewed by several radiologists from 3 different hospitals and demonstrated no new radiographically visible rib fractures. Collagen analysis, the patient's clinical appearance, and clinical course, as well as a consultant's opinion aided in confirmation of the diagnosis of osteogenesis imperfecta type II. A review of 4 previous studies concerning rib fractures and CPR is included. This unique case supports previous articles that have concluded that rib fractures rarely, if ever, result from CPR in pediatrics, even in children with a lethal underlying bone disease, such as osteogenesis imperfecta type II. cardiopulmonary resuscitation, chest compressions, osteogenesis imperfecta, rib fractures, bone disease.
Sewell
R D
RD
Good Shepherd Medical Group, Hermiston, Oregon 97838, USA. kidsdr@eoni.com
Steinberg
M A
MA
D001696:Biomechanical Phenomena; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010013:Osteogenesis Imperfecta / Q000150:complications* / Q000175:diagnosis; D013902:Radiography, Thoracic; D012253:Rib Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D013909:Thorax / Q000502:physiology*