Things to keep in mind after cardiopulmonary resuscitation: bilateral severe and widespread subcutaneous emphysema together with unilateral pneumothorax

Year 2019, Volume: 5 Issue: 1, 183 - 185, 04.01.2019

Timuçin Alar , İsmail Ertuğrul Gedik

https://doi.org/10.18621/eurj.396685

Abstract

Cardiopulmonary
resuscitation (CPR) can cause severe complications such as rib and sternal
fracture, pneumothorax or hemothorax. In this article, we report a case of
widespread and severe bilateral subcutaneous emphysema and unilateral
iatrogenic pneumothorax that does not correlate with the severity of the
emphysema that occurred after active CPR. 

Keywords

Cardiopulmonary resuscitation , pneumothorax , emphysema

References

• [1] Hoke R S, Chamberlain D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation 2004;63:327-38.
• [2] Sirmali M, Türüt H, Topçu S, Gülhan E, Yazici U, Kaya S, et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg 2003;24:133-8.
• [3] Kim MJ, Park YS, Kim SW, Yoon YS, Lee KR, Lim TH, et al. Chest injury following cardiopulmonary resuscitation: A prospective computed tomography evaluation. Resuscitation 2013;84:361-4.
• [4] Karmy-Jones R, Jurkovich GJ. Blunt chest trauma. Curr Probl Surg 2004;41:211-380.
• [5] Beom JH, You JS, Kim MJ, Seung MK, Park YS, Chung HS, et al. Investigation of complications secondary to chest compressions before and after the 2010 cardiopulmonary resuscitation guideline changes by using multi-detector computed tomography: a retrospective study. Scand J Trauma Resusc Emerg Med 2017;25:8.
• [6] Krischer JP, Fine EG, Davis JH, Nagel EL. Complications of cardiac resuscitation. Chest 1987;92:287-91.
• [7] Oschatz E, Wunderbaldinger P, Sterz F, Holzer M, Kofler J, Slatin H, et al. Cardiopulmonary resuscitation performed by bystanders does not increase adverse effects as assessed by chest radiography. Anesth Analg 2001;93:128-33.
• [8] Vinay B, Venkataramaiah S, Sriganesh K, Rao M. Pneumothorax with subcutaneous emphysema following cardio-pulmonary resuscitation. Minerva Anestesiol 2013;79:824-5.
• [9] Bekeredjian R, Meyer FJ, Frey N, Radeleff B. Massive tissue emphysema after cardiopulmonary resuscitation. Am J Emerg Med 2007;25:101-2.