Pericardial laceration after using an automated mechanical chest compression device

被引:0
作者
Ondruschka, B. [1 ]
Hartwig, T. [2 ]
Gries, A. [2 ]
Haedrich, C. [1 ]
Dressler, J. [1 ]
Bernhard, M. [2 ]
机构
[1] Univ Leipzig, Inst Rechtsmed, Leipzig, Germany
[2] Univ Klinikum Leipzig, Zent Notaufnahme, Leipzig, Germany
来源
NOTFALL & RETTUNGSMEDIZIN | 2017年 / 20卷 / 05期
关键词
RESUSCITATION COUNCIL GUIDELINES; CARDIOPULMONARY-RESUSCITATION; CARDIAC-ARREST; INJURIES; STERNUM; RUPTURE; CPR;
D O I
10.1007/s10049-016-0238-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report the case of a 72-year-old patient who underwent cardiopulmonary resuscitation using an automated mechanical chest compression device (LUCAS2) after sudden cardiac arrest. In spite of transporting the patient to the emergency room with continued mechanical chest compressions, recovery of spontaneous circulation was not achieved. During the forensic autopsy, numerous injuries typically associated with mechanical cardiopulmonary resuscitation were detected. A laceration of the pericardial sac was caused by a dislocated fracture of the sternum. Finally, a rupture of the left ventricular heart wall due to a several day old myocardial infarction followed by a cardiac tamponade was determined to be the cause of death. We discuss the incidence of injuries associated with the use of an automated mechanical chest compression device during cardiopulmonary resuscitation and the necessity of regular forensic or clinical-pathological autopsies for quality management.
引用
收藏
页码:424 / 429
页数:6
相关论文
共 23 条
  • [1] AGDAL N, 1973, ACTA MED SCAND, V194, P477
  • [2] Bajanowski T, 2012, PATHOLOGE, V33, P217, DOI 10.1007/s00292-011-1556-6
  • [3] Don't forget to ventilate during cardiopulmonary resuscitation with mechanical chest compression devices
    Bernhard, Michael
    Hossfeld, Bjoern
    Kumle, Bernhard
    Becker, Torben K.
    Boettiger, Bernd
    Birkholz, Torsten
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2016, 33 (08) : 553 - 556
  • [4] Buschmann CT, 2015, ANASTH INTENSIV NOTF, V50, P392, DOI 10.1055/s-0041-100780
  • [5] Mechanical Chest Compression Devices Current Status and possible Applications
    Gaessler, H.
    Helm, M.
    Lampl, L.
    [J]. NOTARZT, 2016, 32 (03): : 130 - 139
  • [6] Advances in post-mortem CT-angiography
    Grabherr, S.
    Grimm, J.
    Dominguez, A.
    Vanhaebost, J.
    Mangin, P.
    [J]. BRITISH JOURNAL OF RADIOLOGY, 2014, 87 (1036)
  • [7] Perimortal artifacts. Differential diagnoses during external examination of the corpse and autopsy
    Haedrich, C.
    Banaschak, S.
    Dressler, J.
    [J]. RECHTSMEDIZIN, 2012, 22 (01) : 17 - 23
  • [8] Skeletal chest injuries secondary to cardiopulmonary resuscitation
    Hoke, RS
    Chamberlain, D
    [J]. RESUSCITATION, 2004, 63 (03) : 327 - 338
  • [9] Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation
    Klintschar, M
    Darok, M
    Radner, H
    [J]. INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 1998, 111 (02) : 93 - 96
  • [10] Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered
    Kralj, Eduard
    Podbregar, Matej
    Kejzar, Natasa
    Balazic, Joze
    [J]. RESUSCITATION, 2015, 93 : 136 - 141