Successful transdiaphragmatic cardiac resuscitation through midline abdominal incision in patient with flail chest.
This case report describes a transdiaphragmatic approach through an already present vertical midline abdominal incision for performing internal cardiac compressions in a 30-year-old male road accident victim. The patient had a flail chest with haemopneumothorax and haemoperitoneum. Exploratory laparotomy followed by splenectomy was performed under general anaesthesia but the patient developed a witnessed cardiac arrest in postoperative period. Successful resuscitation using internal cardiac compression by a transdiaphragmatic approach through the midline abdominal incision that was not extended proximally is described.
Suresh Kumar
S
S
Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
Saith
V
V
Chawla
R
R
Kumar Sethi
A
A
Bhattacharya
A
A
D000063:Accidents, Traffic; D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D003964:Diaphragm; D005409:Flail Chest / Q000150:complications / Q000601:surgery*; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006465:Hemoperitoneum / Q000150:complications / Q000601:surgery; D006468:Hemopneumothorax / Q000150:complications / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*