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pre hospital open heart massage

Paul Puchwein, Florian Sommerauer, Hans G Clement, Veronika Matzi, Norbert P Tesch, Barbara Hallmann, Tim Harris, Marcel Rigaud
AIMS: Selected patients in traumatic cardiac arrest may benefit from pre-hospital thoracotomy. Pre-hospital care physicians rarely have surgical training and the procedure is rarely performed in most European systems. Limited data exists to inform teaching and training for this procedure. We set out to run a pilot study to determine the time required to perform a thoracotomy and the a priori defined complication rate. METHODS: We adapted an existing system operating procedure requiring four instruments (Plaster-of-Paris shears, dressing scissors, non-toothed forceps, scalpel) for this study...
September 2015: Injury
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
Janne P Karhunen, Eero I T Sihvo, Raili T Suojaranta-Ylinen, O Juhani Rämö, Ulla-Stina Salminen
OBJECTIVE: Sudden hemodynamic collapse after coronary artery bypass graft (CABG) surgery is a complication with high morbidity and mortality. The aim of this study was to explore factors possibly predictive of this major complication. DESIGN: Retrospective case-control study. SETTING: University hospital, department of cardiothoracic surgery. PARTICIPANTS: Between 1988 and 1999, of 8,807 CABG patients, a total of 76 (0...
April 2006: Journal of Cardiothoracic and Vascular Anesthesia
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
Tahir Ali, J Castro, C R Young, K G Burnand
A 58-year-old man presented to the hospital with an 8-hour history of acute-onset bilateral lower limb ischemia. A large saddle embolus had occluded the aorta and could not be removed by balloon endarterectomy through the femoral arteries. Successful open aortic and femoral thromboembolectomy followed by extensive fasciotomies was accompanied by severe reperfusion injury. Life-threatening hyperkalemia was associated with three episodes of intraoperative ventricular fibrillation and ventricular tachycardia requiring cardiac massage and defibrillation...
May 2004: Vascular
C A Eynon
Direct massage of the heart may be performed using a specifically designed device inserted via a limited thoracic incision. The technique is simple to perform and has been shown in experimental studies to be physiologically similar to formal open-chest cardiac massage. Preliminary human studies have been encouraging and pre-hospital and in-hospital studies are in progress. Modification of the device allows combined epicardial-transthoracic defibrillation. Energy requirements for successful defibrillation using this method are considerably lower than standard external defibrillation...
November 2000: Resuscitation
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