[Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].
Identifieur interne : 000961 ( PubMed/Corpus ); précédent : 000960; suivant : 000962[Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].
Auteurs : H A Adams ; G. Hempelmann ; B. Beigl ; C S SchmitzSource :
- Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS [ 0939-2661 ] ; 1996.
English descriptors
- KwdEn :
- Cardiopulmonary Resuscitation (methods), Combined Modality Therapy, Decompression, Fatal Outcome, Humans, Knee Prosthesis, Liver (injuries), Male, Middle Aged, Osteoarthritis (surgery), Postoperative Complications (physiopathology), Postoperative Complications (surgery), Postoperative Complications (therapy), Pressure (adverse effects), Pulmonary Embolism (physiopathology), Pulmonary Embolism (surgery), Pulmonary Embolism (therapy), Risk Factors, Shock, Hemorrhagic (etiology), Shock, Hemorrhagic (physiopathology), Shock, Hemorrhagic (surgery), Spleen (injuries), Thrombolytic Therapy, Tissue Adhesions.
- MESH :
- adverse effects : Pressure.
- etiology : Shock, Hemorrhagic.
- injuries : Liver, Spleen.
- methods : Cardiopulmonary Resuscitation.
- physiopathology : Postoperative Complications, Pulmonary Embolism, Shock, Hemorrhagic.
- surgery : Osteoarthritis, Postoperative Complications, Pulmonary Embolism, Shock, Hemorrhagic.
- therapy : Postoperative Complications, Pulmonary Embolism.
- Combined Modality Therapy, Decompression, Fatal Outcome, Humans, Knee Prosthesis, Male, Middle Aged, Risk Factors, Thrombolytic Therapy, Tissue Adhesions.
Abstract
Circulatory effects of cardiopulmonary resuscitation with active compression-decompression (CPR-ACD) are superior to the conventional technique. Decompression, thoracic expansion and a corresponding suction effect obviously improves cardiac preload. Due to significant or unphysiological thoracic expansion, thorax, diaphragma, and epigastrium are exposed to considerable traction powers. In a patient with fulminant pulmonary embolism, conventional cardiac massage and ACD were maintained during 65 minutes with simultaneous systemic thrombolytic therapy. After CPR, the patient developed a massive haemorrhagic shock. During emergency laparotomy, significant adhesions of upper abdominal organs with serious injuries of spleen and liver were found. Traction powers during CPR-ACD in combination with abdominal adhesions are considered responsible. Until improved outcome of CPR-ACD is demonstrated in larger clinical investigations, at least initially conventional cardiac massage should be preferred before the ACD-technique is used. Special attention to patients with a history of upper abdominal operations or chronic inflammatory lung diseases is mandatory.
DOI: 10.1055/s-2007-995930
PubMed: 8767249
Links to Exploration step
pubmed:8767249Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].</title><author><name sortKey="Adams, H A" sort="Adams, H A" uniqKey="Adams H" first="H A" last="Adams">H A Adams</name><affiliation><nlm:affiliation>Abteilung für Anästhesie und Intensivmedizin, Marienkrankenhaus Trier-Ehrang.</nlm:affiliation></affiliation></author><author><name sortKey="Hempelmann, G" sort="Hempelmann, G" uniqKey="Hempelmann G" first="G" last="Hempelmann">G. Hempelmann</name></author><author><name sortKey="Beigl, B" sort="Beigl, B" uniqKey="Beigl B" first="B" last="Beigl">B. Beigl</name></author><author><name sortKey="Schmitz, C S" sort="Schmitz, C S" uniqKey="Schmitz C" first="C S" last="Schmitz">C S Schmitz</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8767249</idno><idno type="pmid">8767249</idno><idno type="doi">10.1055/s-2007-995930</idno><idno type="wicri:Area/PubMed/Corpus">000961</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000961</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].</title><author><name sortKey="Adams, H A" sort="Adams, H A" uniqKey="Adams H" first="H A" last="Adams">H A Adams</name><affiliation><nlm:affiliation>Abteilung für Anästhesie und Intensivmedizin, Marienkrankenhaus Trier-Ehrang.</nlm:affiliation></affiliation></author><author><name sortKey="Hempelmann, G" sort="Hempelmann, G" uniqKey="Hempelmann G" first="G" last="Hempelmann">G. Hempelmann</name></author><author><name sortKey="Beigl, B" sort="Beigl, B" uniqKey="Beigl B" first="B" last="Beigl">B. Beigl</name></author><author><name sortKey="Schmitz, C S" sort="Schmitz, C S" uniqKey="Schmitz C" first="C S" last="Schmitz">C S Schmitz</name></author></analytic><series><title level="j">Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</title><idno type="ISSN">0939-2661</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiopulmonary Resuscitation (methods)</term><term>Combined Modality Therapy</term><term>Decompression</term><term>Fatal Outcome</term><term>Humans</term><term>Knee Prosthesis</term><term>Liver (injuries)</term><term>Male</term><term>Middle Aged</term><term>Osteoarthritis (surgery)</term><term>Postoperative Complications (physiopathology)</term><term>Postoperative Complications (surgery)</term><term>Postoperative Complications (therapy)</term><term>Pressure (adverse effects)</term><term>Pulmonary Embolism (physiopathology)</term><term>Pulmonary Embolism (surgery)</term><term>Pulmonary Embolism (therapy)</term><term>Risk Factors</term><term>Shock, Hemorrhagic (etiology)</term><term>Shock, Hemorrhagic (physiopathology)</term><term>Shock, Hemorrhagic (surgery)</term><term>Spleen (injuries)</term><term>Thrombolytic Therapy</term><term>Tissue Adhesions</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Pressure</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Shock, Hemorrhagic</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Liver</term><term>Spleen</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cardiopulmonary Resuscitation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Postoperative Complications</term><term>Pulmonary Embolism</term><term>Shock, Hemorrhagic</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Osteoarthritis</term><term>Postoperative Complications</term><term>Pulmonary Embolism</term><term>Shock, Hemorrhagic</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Postoperative Complications</term><term>Pulmonary Embolism</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Combined Modality Therapy</term><term>Decompression</term><term>Fatal Outcome</term><term>Humans</term><term>Knee Prosthesis</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Thrombolytic Therapy</term><term>Tissue Adhesions</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Circulatory effects of cardiopulmonary resuscitation with active compression-decompression (CPR-ACD) are superior to the conventional technique. Decompression, thoracic expansion and a corresponding suction effect obviously improves cardiac preload. Due to significant or unphysiological thoracic expansion, thorax, diaphragma, and epigastrium are exposed to considerable traction powers. In a patient with fulminant pulmonary embolism, conventional cardiac massage and ACD were maintained during 65 minutes with simultaneous systemic thrombolytic therapy. After CPR, the patient developed a massive haemorrhagic shock. During emergency laparotomy, significant adhesions of upper abdominal organs with serious injuries of spleen and liver were found. Traction powers during CPR-ACD in combination with abdominal adhesions are considered responsible. Until improved outcome of CPR-ACD is demonstrated in larger clinical investigations, at least initially conventional cardiac massage should be preferred before the ACD-technique is used. Special attention to patients with a history of upper abdominal operations or chronic inflammatory lung diseases is mandatory.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8767249</PMID><DateCreated><Year>1996</Year><Month>10</Month><Day>10</Day></DateCreated><DateCompleted><Year>1996</Year><Month>10</Month><Day>10</Day></DateCompleted><DateRevised><Year>2008</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0939-2661</ISSN><JournalIssue CitedMedium="Print"><Volume>31</Volume><Issue>5</Issue><PubDate><Year>1996</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS</Title><ISOAbbreviation>Anasthesiol Intensivmed Notfallmed Schmerzther</ISOAbbreviation></Journal><ArticleTitle>[Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].</ArticleTitle><Pagination><MedlinePgn>325-7</MedlinePgn></Pagination><Abstract><AbstractText>Circulatory effects of cardiopulmonary resuscitation with active compression-decompression (CPR-ACD) are superior to the conventional technique. Decompression, thoracic expansion and a corresponding suction effect obviously improves cardiac preload. Due to significant or unphysiological thoracic expansion, thorax, diaphragma, and epigastrium are exposed to considerable traction powers. In a patient with fulminant pulmonary embolism, conventional cardiac massage and ACD were maintained during 65 minutes with simultaneous systemic thrombolytic therapy. After CPR, the patient developed a massive haemorrhagic shock. During emergency laparotomy, significant adhesions of upper abdominal organs with serious injuries of spleen and liver were found. Traction powers during CPR-ACD in combination with abdominal adhesions are considered responsible. Until improved outcome of CPR-ACD is demonstrated in larger clinical investigations, at least initially conventional cardiac massage should be preferred before the ACD-technique is used. Special attention to patients with a history of upper abdominal operations or chronic inflammatory lung diseases is mandatory.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adams</LastName><ForeName>H A</ForeName><Initials>HA</Initials><AffiliationInfo><Affiliation>Abteilung für Anästhesie und Intensivmedizin, Marienkrankenhaus Trier-Ehrang.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hempelmann</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Beigl</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Schmitz</LastName><ForeName>C S</ForeName><Initials>CS</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Spezifische Risiken der aktiven Kompression-Dekompression bei kardiopulmonaler Reanimation: Ein Fallbericht.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Anasthesiol Intensivmed Notfallmed Schmerzther</MedlineTA><NlmUniqueID>9109478</NlmUniqueID><ISSNLinking>0939-2661</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Mar;32(3):201-2</RefSource><PMID Version="1">9128758</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D016887" MajorTopicYN="N">Cardiopulmonary Resuscitation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003664" MajorTopicYN="N">Decompression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017809" MajorTopicYN="N">Fatal Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007720" MajorTopicYN="N">Knee Prosthesis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008099" MajorTopicYN="N">Liver</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010003" MajorTopicYN="N">Osteoarthritis</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011312" MajorTopicYN="N">Pressure</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011655" MajorTopicYN="N">Pulmonary Embolism</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012771" MajorTopicYN="N">Shock, Hemorrhagic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013154" MajorTopicYN="N">Spleen</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000267" MajorTopicYN="N">Tissue Adhesions</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1996</Year><Month>6</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1996</Year><Month>6</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1996</Year><Month>6</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8767249</ArticleId><ArticleId IdType="doi">10.1055/s-2007-995930</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Rhénanie/explor/UnivTrevesV1/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000961 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 000961 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Rhénanie
|area= UnivTrevesV1
|flux= PubMed
|étape= Corpus
|type= RBID
|clé= pubmed:8767249
|texte= [Specific risks of active compression-decompression in cardiopulmonary resuscitation: a case report].
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:8767249" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a UnivTrevesV1
| This area was generated with Dilib version V0.6.31. |  |