Kardiyopulmoner Resüsitasyonun Nadir Bir Komplikasyonu: Karaciğer Yaralanması

Yıl 2014, Cilt: 5 Sayı: 4, 117 - 119, 01.04.2014

Eyyüp Yılmaz Mehmet Özbay Elif Ömeroğlu Nezih Anolay Hüseyin Sarı Mustafa İçer

Öz

Introduction: Cardiopulmonary resuscitation (CPR) is a medical process that could be life-saving, but it may also bring about lots of medical complications with regard to CPR. In this case study, we report a legal case with a ruptured liver found at the autopsy.   Case Report: A 37-year-old woman, who had angina on her chest formerly, was taken to the hospital in the emergency medicine room as a death. As soon as she arrived there, CPR was applied. Unfortunately, there was no response. After performing the autopsy of her corpse, sternum bone fracture, excessive accumulation of hemorrhage into the abdomen, and liver rupture were discovered.   Conclusion: Inappropriate chest compression may cause liver injury during mechanical CPR processes.

Anahtar Kelimeler

CPR, liver injury, emergency, autopsy

A Rare Complication of Cardiopulmonary Resuscitation: Liver Injury

Öz

Introduction: Cardiopulmonary resuscitation (CPR) is a medical process that could be life-saving, but it may also bring about lots of medical complications with regard to CPR. In this case study, we report a legal case with a ruptured liver found at the autopsy. Case Report: A 37-year-old woman, who had angina on her chest formerly, was taken to the hospital in the emergency medicine room as a death. As soon as she arrived there, CPR was applied. Unfortunately, there was no response. After performing the autopsy of her corpse, sternum bone fracture, excessive accumulation of hemorrhage into the abdomen, and liver rupture were discovered. Conclusion: Inappropriate chest compression may cause liver injury during mechanical CPR processes

Anahtar Kelimeler

CPR, liver injury, emergency, autopsy

Kaynakça

• Cander B, Yıldırır A, Önalan O. Kardiyopulmoner resüsitasyon ve acil kardiyak bakım bilimi için 2010 Amerikan Kalp Derneği(AHA) Kılavuzu- İlk yardım için 2010 Amerikan Kalp Derneği(AHA) ve Amerikan Kızıl Haç Kılavuzu. In: Duran A, Kaya H, Akdur O. Erişkin temel yaşam desteği. 1. baskı. İstanbul: Logos Yayıncılık 2012; 81-121.
• Hashimoto Y, Moriya F, Furumiya J. Forensic aspects of complications resulting from cardiopulmonary resuscitation. Legal Medicine 2007; 9: 94- 99 [CrossRef]
• Meron G, Kurkciyan I, Sterz F, Susani M,Domanovits H, Tobler K, Bohdjalian A, Laggner AN. Cardiopulmonary resuscitation-associated major liver injury. Resuscitation 2007; 75: 445-53. [CrossRef]
• Pinto DC, Pinneri KH, Love JC, Manual and Automated Cardiopulmonary Resuscitation (CPR): A Comparison of Associated Injury Patterns. J Forensic Sci 2013; 58: 94-9. [CrossRef]
• Smekal D, Johansson J, Huzevkaa T, Rubertssona S. No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCASTM device—A pilot study. Resuscitation 2009; 80: 1104-7 [CrossRef]
• Lau G. A case of sudden maternal death associated with resuscitative liver injury. Forensic Sci Int 1994; 67: 127-32. [CrossRef]
• Krischer JP, Fine EG, Davis JH, Nagel EL. Complications of Cardiac Resuscitation. Chest 1987; 92: 287-91. [CrossRef]
• Dean JM, Koehler RC, Schleien CL, Berkowitz I, Michael JR, Atchison D, et al. Age-related effects of compression rate and duration in cardiopulmonary resuscitation. J Appl Physiol 1990; 68: 554-60.
• Hightower D, Thomas SH, Stone CK, Dunn K, March JA. Decay in quality of closed-chest compressions over time. Ann Emerg Med 1995; 26: 300-3. [CrossRef]
• Bernard SA, Jones BM, Scott WJ. Intra-Abdominal Complications Following Prolonged Cardiopulmonary Resuscitation. Australian and New Zealand Journal of Surgery 1993; 63: 312-14. [CrossRef]