[Full Recovery from Cardiopulmonary Arrest caused by Traumatic Asphyxia].
Traumatic asphyxia is a crush injury of the chest characterized by facial edema, cyanosis, conjunctival hemorrhage, and petechiae on the face and chest. The prognosis depends on the duration of chest compression and early cardiopulmonary resuscitation after cardiopulmonary arrest. Here we report a case of full recovery from cardiopulmonary arrest caused by traumatic asphyxia. The chest of a 56-year-old man was compressed by a machine while working. Immediately, his colleague started cardiopulmonary resuscitation, which was successful. When he was admitted to our hospital, his consciousness level was E1V2M2(Glasgow coma scale). Our treatment included therapeutic hypothermia, the duration of which was 24 hours at 34 °C. Rewarming his body to 36 °C took place over 48 hours. Thereafter, he recovered completely and was discharged on the 12th hospital day without neurologic sequela. Therapeutic hypothermia was possibly effective in this case.
Department of Emergency and Critical Care Medicine, Shimane University, Shimane, Japan.
Tomohiro
T
Hirade
Susumu
S
Murata
Tsukasa
T
Saito
Kohei
K
Ogawa
Nobuhiro
N
Kodani
Manabu
M
Sakakibara
Ritsuko
R
Hirade
Hiroyuki
H
Kushizaki
Takashi
T
Matsuda
Kotaro
K
Minami
Tetsuro
T
Nikai
Masayoshi
M
Nishina
D000062:Accidents, Occupational; D000983:Antipyrine / Q000008:administration & dosage / Q000031:analogs & derivatives; D001237:Asphyxia / Q000209:etiology*; D016887:Cardiopulmonary Resuscitation; D000077553:Edaravone; D006323:Heart Arrest / Q000209:etiology* / Q000534:rehabilitation / Q000628:therapy*; D006336:Heart Massage; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D013898:Thoracic Injuries / Q000150:complications*; D016896:Treatment Outcome
D000077553:Edaravone; D000983:Antipyrine