title: Effects of subdiaphragmatic cardiac compression on cardiac arrest during liver transplantation.
abstract: Cardiac arrest during upper abdominal surgery such as liver transplantation is a rare but very severe complication. Traditional external cardiac compression has been the mainstay of basic life support in general circumstances. Subdiaphragmatic cardiac compression (SDCC), with no incision in the diaphragm, may be a more effective measure. This maneuver can provide more effective and timely cardiac compression via the already open abdomen in surgery and not add extra trauma. This method can provide a quicker and more effective means of circulation support for intraoperative cardiac arrest patients without adding new injuries. Five cases are reported and all the patients had return of spontaneous circulation (ROSC). This is the first report of the SDCC method.
authors.affiliation: Emergency Medical Center, General Hospital of the Chinese People's Armed Police Forces, Beijing 100039, China. wjjjwlx@163.com
authors.forename: Li-Xiang
authors.initials: LX
authors.lastname: Wang
authors.forename: Ya-Hua
authors.initials: YH
authors.lastname: Liu
authors.forename: Man-Hong
authors.initials: MH
authors.lastname: Zhou
authors.forename: Hong-Zhi
authors.initials: HZ
authors.lastname: Shi
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Guo
authors.forename: Kun
authors.initials: K
authors.lastname: Sun
authors.forename: Li-Zhi
authors.initials: LZ
authors.lastname: Ma
authors.forename: Xin-Guo
authors.initials: XG
authors.lastname: Chen
authors.forename: Zhong-Yang
authors.initials: ZY
authors.lastname: Shen
authors.forename: Zhi-Xin
authors.initials: ZX
authors.lastname: Ji
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged