EVALUATION OF THORACIC INJURIES WITH THORACIC CT IN PATIENTS WITH RETURN OF SPONTANEOUS CIRCULATION AFTER CARDIOPULMONARY RESUSCITATION

Öz

Objective: In this study, we aimed to identify post-CPR (cardiopulmonary resuscitation) injuries.

Material and Methods: This study was conducted retrospectively in 47 patients who had non-traumatic arrest and return of spontaneous circulation after CPR. Age, gender, CPR duration, findings of thoracic CT after CPR and mortality data of patients were evaluated.

Results: The median age of the patients in our study was 73 years (IQR: 18) and 59.6% of the patients were female. The age and duration of CPR were significantly higher in patients with identified CPR-related injuries (p<0.05). There was no correlation between CPR-related injury and gender and death (p>0.05). Rib fractures were found in 48.9%, lung contusion in 23.4%, hemothorax in 17%, pneumothorax in 10.6%, pneumomediastinum in 4.3% and clavicle fracture in 2.1% of all patients.

Conclusion: Injuries due to chest trauma often develop in cases that respond to CPR. Therefore, clinicians who follow-up the patient should keep in mind that injuries may occur after CPR and determine treatment protocols aimed for these complications in terms of post cardiac arrest.

Anahtar Kelimeler

• Cardiopulmonary resuscitation,computed tomography,thoracic injuries

Kardiyopulmoner Resüsitasyon Sonrası Dolaşımın Sağlandığı Hastalarda Gelişen Toraks Yaralanmaların Toraks BT ile Değerlendirilmesi

Öz

Amaç: Bu çalışmada kardiopulmoner resusitasyon (CPR) sonrası gelişen yaralanmaları tespit etmeyi amaçladık.

Gereç ve Yöntemler: Çalışma, nontravmatik sebeplere bağlı arrest olan ve CPR sonucu spontan dolaşımın sağlandığı 47 hastada retrospektif olarak yapıldı. Hastaların yaş, cinsiyet, CPR süresi, CPR sonrası toraks tomografisindeki bulgular ve mortalite durumları değerlendirildi.

Bulgular: Çalışmamızdaki hastaların yaş ortancası 73 (IQR: 18) yıl olup, hastaların %59.6’sı kadındı. CPR’a bağlı yaralanma saptanan hastaların yaş ve CPR süresi anlamlı olarak yüksekti (p<0.05). CPR’a bağlı yaralanma ile cinsiyet ve eksitus olma arasında ilişki saptanmadı (p>0.05). Hastaların %48.9’unda kosta fraktürü, %23.4’ünde akciğer kontüzyonu, %17’sinde hemotoraks, %10.6’sında pnömotoraks, %4.3’ünde pnömomediastinum ve %2.1’inde klavikula fraktürü saptandı.

Sonuç: CPR’a yanıt veren olgularda toraks travmasına bağlı yaralanmalar sıklıkla gelişmektedir. Bu nedenle hastayı takip eden klinisyenlerin CPR sonrası yaralanmalar oluşabileceğini akılda tutmaları ve kardiyak arrest sonrası bakımda bu komplikasyonlara yönelik tedavi protokollerini belirlemeleri gerekmektedir.

Anahtar Kelimeler

• kardiopulmoner resusistasyon,bilgisayarlı tomografi,toraks yaralanmaları

Kaynakça

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