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medical open heart massage

Tomasz Kucmin, Małgorzata Płowaś-Goral, Adam Nogalski
Cardiopulmonary resuscitation (CPR) is relatively novel branch of medical science, however first descriptions of mouth-to-mouth ventilation are to be found in the Bible and literature is full of descriptions of different resuscitation methods - from flagellation and ventilation with bellows through hanging the victims upside down and compressing the chest in order to stimulate ventilation to rectal fumigation with tobacco smoke. The modern history of CPR starts with Kouwenhoven et al. who in 1960 published a paper regarding heart massage through chest compressions...
February 2015: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
John Myers, Dalip Singh, Hossein Almassi
Surgery Student/Resident Case Report PostersSESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Removal of fractured, infected or retained pacemaker and defibrillator leads has become a common practice. The removal however can be associated with major cardiovascular complications, such as cardiac or vascular avulsion and tamponade.CASE PRESENTATION: Our patient was a 68 year old man with a pacemaker implant for complete heart block five years ago, who presented with skin erosion of the generator pocket and exposure of the leads...
October 1, 2014: Chest
P Puchwein, G Prenner, B Fell, M Sereinigg, R Gumpert
We report the case of a 17-year-old man who sustained multiple stab wounds after a knife attack. After arrival of the emergency medical team the patient suffered a cardiac arrest caused by cardiac tamponade. After emergency thoracotomy and open heart massage the patient developed ROSC and could be discharged 13 days later without neurological deficits. Prehospital thoracotomy is rarely performed in Austria but is the only realistic chance for survival in cases of hematopericardium and tamponade. Better training of emergency physicians in Austria concerning surgical resuscitation could increase survival rates especially after penetrating thoracic trauma...
September 2014: Der Unfallchirurg
Kalpana D Dhuri, Prashant V Bodhe, Ashok B Vaidya
BACKGROUND: Shirodhara is a classical and a well-established ayurvedic procedure of slowly and steadily dripping medicated oil or other liquids on the forehead. This procedure induces a relaxed state of awareness that results in a dynamic psycho-somatic balance. OBJECTIVES: The objective of the study is to evaluate the psychological and physiological effects of Shirodhara in healthy volunteers by monitoring the rating of mood and levels of stress, electrocardiogram (ECG), electroencephalogram (EEG), and selected biochemical markers of stress...
January 2013: Journal of Ayurveda and Integrative Medicine
Jonathan G Hill, Savanna J Hardekopf, Jefferson W Chen, James C Krieg, Raymond B Bracis, Raymond J Petrillo, William B Long, Julie A Garrison, Richard F Edlich
BACKGROUND: Survival of blunt trauma associated with hypothermic and hemorrhagic cardiac arrest in wilderness areas is extremely rare. CASE REPORT: We describe a case of a 19-year-old female college sophomore who, while glissading down Mt. Adams, had a 400-pound boulder strike her back and left pelvis, propelling her 40 feet down the mountain to land face down in the snow at 7000 feet. It took 4 h from the time of injury until the arrival of the helicopter at our Emergency Department and Trauma Center...
February 2013: Journal of Emergency Medicine
Joellen M Sefton, Ceren Yarar, Jack W Berry
BACKGROUND: Falls are the primary cause of accidental death in older persons, producing increased morbidity, decreased independence, and billions in medical costs annually. Massage therapy (MT) may produce adaptations that decrease risk of falling. If MT can improve stability in older persons, it may provide a new intervention for this issue. PURPOSE: Determine the acute effects of a 60-minute MT treatment on static and functional balance, neurological measures, heart rate, and blood pressure in healthy, older individuals...
2012: International Journal of Therapeutic Massage & Bodywork
Fatos Sinani, Besim Ymaj, Gentian Vyshka
The case of an 18-month child is presented, with a picture demonstrating the thoracic trauma, caused from a hand pressure movement, perpetrated with an open right palm, in an attempt to perform an external cardiac massage. The child showed continuous episodes of 'crying spells' that the medical staff considered as benign, but an overprotective and mentally unstable mother kept on violently 'resuscitating' her son during such episodes. The last episode was characterised with a strenuous massage of the thoracic wall, causing evident bruises and leading to a cardiac contusion...
2011: BMJ Case Reports
Terasumi Keiko, Youichi Yanagawa, Susumu Isoda
An 81-year-old woman became unconsciousness after complaining of a backache, and then, an ambulance was called. She was suspected to have an aortic dissection by the emergency medical technicians and was transferred to our department. On arrival, she was in shock. Emergency cardiac ultrasound disclosed good wall motion with cardiac tamponade but no complication of aortic regurgitation. Computed tomography of the trunk revealed a type A aortic dissection with cardiac tamponade. During performance of pericardial drainage, she lapsed into cardiopulmonary arrest...
May 2012: American Journal of Emergency Medicine
Sang Kuk Han, Dong Hyuk Shin, Pil Cho Choi
BACKGROUND: Emergency airway management in suboptimal conditions can result in difficulties in tracheal intubation. The video laryngoscope (Pentax-AWS) has potential advantages during difficult tracheal intubations. According to the 2005 guidelines for cardiopulmonary resuscitation (CPR), all rescuers should minimize interruption of chest compressions. Our hypothesis is that tracheal intubation using the Pentax-AWS is possible without interruption of chest compressions. We tested this using tracheal intubation performed by less experienced medical personnel in a manikin model...
January 2010: Resuscitation
Eva Rioja, Kim Beaulieu, David L Holmberg
OBSERVATIONS: A 9 year-old, 40 kg, female spayed Bouvier des Flandres was anesthetized for surgical removal of an intra-cardiac mass. Pre-anesthetic work-up included thoracic radiographs, which revealed moderate pleural effusion, and cardiac ultrasound, which identified a mass attached to the wall of the right ventricular outflow tract (RVOT). The mass caused dynamic obstruction of the RVOT during systole. The dog was pre-medicated with intravenous (IV) hydromorphone (0.05 mg kg(-1))...
July 2009: Veterinary Anaesthesia and Analgesia
Raymond Farah, Eva Stiner, Zmora Zohar, Arie Eisenman, Fabio Zveibil
BACKGROUND: Saving life demands only two hands and some basic knowledge. A qualified person can open airways, resuscitate, massage a heart and call for help. A person with cardio-pulmonary resuscitation (CPR) training can sustain an ailing person's heart and brain for a short time. However, knowledge of CPR guidelines and skills is not enough; medical and nursing practitioners must practice and train regularly to hone those skills. Western Galilee Hospital has developed simulator programs for surprise CPR training exercises in all hospital departments and units...
July 2007: Harefuah
Mustafa Karatepe, Erkan Tomatir, Pervin Bozkurt
One of the pioneers of open chest cardiac massage was Cemil Topuzlu Pasha, in Turkey. He presented his experience in open heart cardiac massage in several papers published in Ottoman and French and German. On 27 August 1903 one of his patients undergoing external urethrotomy under chloroform anaesthesia developed cardiac arrest and he performed open chest cardiac massage. He reported his approach to this event and discussed the literature regarding resuscitation available at the beginning of 20th century. Meanwhile he had defined "Do Not Resuscitate" code in cases involving serious heart disease and other diseases where life expectancy is very short...
February 2006: Resuscitation
Vibhu R Kshettry, Linda Flies Carole, Susan J Henly, Sue Sendelbach, Barbara Kummer
BACKGROUND: Complementary therapies (touch, music) are used as successful adjuncts in treatment of pain in chronic conditions. Little is known about their effectiveness in care of heart surgery patients. Our objective is to evaluate feasibility, safety, and impact of a complementary alternative medical therapies package for heart surgery patients. METHODS: One hundred four patients undergoing open heart surgery were prospectively randomized to receive either complementary therapy (preoperative guided imagery training with gentle touch or light massage and postoperative music with gentle touch or light massage and guided imagery) or standard care...
January 2006: Annals of Thoracic Surgery
Janusz Stazka, Marek Czajkowski, Piotr Dudka, Wojciech Dabrowski
Cardiosurgical operations remain one of the most demanding and complicated surgical procedures. Cardiac arrest before extra corporeal circulation (ECC) is one of severe intraoperative complications which can occur in any moment of operation. We have tried to evaluate possible risk factors of intraoperative, pre-ECC cardiac arrest in cardiac surgical patients and also have tried to estimate, if such an incident itself can be a risk factor for further post-operative complications. Pre-ECC intraoperative cardiac arrest (ICA) has occurred in 28 (aged 34-9) of 1,288 cardiac surgical patients operated on in our institution between July 1998 and December 2001...
2004: Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina
A Pottle, I Bullock, J Thomas, L Scott
OBJECTIVE: To review the use of Open Chest Cardiac Compression (OCCC) techniques in postcardiac surgical patients in one specialist cardiothoracic centre in the UK. METHODS: A 4-year retrospective audit (April 1995--March 1999) of all cardiac arrest victims and resuscitation practice across two specialist cardiothoracic hospitals. Audit outcomes related to initial survival and survival to discharge, arrest rhythm, reasons for resternotomy, surgical procedure prior to resternotomy and time elapsed from original surgery to resternotomy...
March 2002: Resuscitation
A Rozenberg, P Incagnoli, P Delpech, C Spaulding, B Vivien, K B Kern, P Carli
BACKGROUND: Internal cardiac compressions are more efficient than closed chest compressions (CCC) in cardiac arrest (CA). AIM OF THE STUDY: To evaluate the prehospital feasibility of performing a new method of minimally invasive direct cardiac massage (MID-CM TheraCardia Inc.). METHODS: Prospective non-randomized open study, after ethical committee approval. Inclusion of 18-85 years old patients in witnessed CA if BLS>5 min and unsuccessful ACLS>20 min after CA...
September 2001: Resuscitation
J M Saïssy, G Boussignac, E Cheptel, B Rouvin, D Fontaine, L Bargues, J P Levecque, A Michel, L Brochard
BACKGROUND: During experimental cardiac arrest, continuous insufflation of air or oxygen (CIO) through microcannulas inserted into the inner wall of a modified intubation tube and generating a permanent positive intrathoracic pressure, combined with external cardiac massage, has previously been shown to be as effective as intermittent positive pressure ventilation (IPPV). METHODS: After basic cardiorespiratory resuscitation, the adult patients who experienced nontraumatic, out-of-hospital cardiac arrest with asystole, were randomized to two groups: an IPPV group tracheally intubated with a standard tube and ventilated with standard IPPV and a CIO group for whom a modified tube was inserted, and in which CIO at a flow rate of 15 l/min replaced IPPV (the tube was left open to atmosphere)...
June 2000: Anesthesiology
I Coma-Canella, L Garcia-Castrillo Riesgo, M Ruano Marco, A Loma-Osorio Montes, F Malpartida de Torres, J E Rodríguez García
Cardiac arrest, consistent on cessation of cardiac mechanical activity, is diagnosed in the absence of consciousness, pulse and breath. The totality of measurements applied to revert it is called cardiopulmonary resuscitation. Two different levels can be distinguished: basic vital support and advanced cardiac vital support. In the basic vital support methods which do not require special technology are used: opening of air lines, mouth to mouth ventilation, cardiac massage; recently, there is a tendency to include the use of defibrillator...
August 1999: Revista Española de Cardiología
D Popesco, E Le Mière, B Maître, B Darchy, Y Domart
Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in severe but transient abnormal left ventricular anterior wall motion, subepicardial ischaemia and injury in ECG leads V1 to V5, but unremarkable coronary arteriography and full recovery. The pathophysiology of gas embolism occurring during a laparoscopic procedure, the mechanisms of gas entry into the systemic vascular bed, the clinical, ECG, pulse oximetry, end-tidal CO2 concentration changes and alarm signs are discussed...
1997: Annales Françaises D'anesthèsie et de Rèanimation
S A Tisherman, K Vandevelde, P Safar, T Morioka, W Obrist, L Corne, R F Buckman, S Rubertsson, H E Stephenson, A Grenvik, R J White
Standard external cardiopulmonary resuscitation (SECPR) frequently produces very low perfusion pressures, which are inadequate to achieve restoration of spontaneous circulation (ROSC) and intact survival, particularly when the heart is diseased. Ultra-advanced life support (UALS) techniques may allow support of vital organ systems until either the heart recovers or cardiac repair or replacement is performed. Closed-chest emergency cardiopulmonary bypass (CPB) provides control of blood flow, pressure, composition and temperature, but has so far been applied relatively late...
June 1997: Resuscitation
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