2018, Number 4
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Cir Cir 2018; 86 (4)
Emergency department thoracotomy in a patient with non-traumatic pulseless electrical activity: potential widening of the therapeutic horizon of a high-specialty intervention
García-Núñez LM, Morales-Pogoda II, Hernández-García EF, Rodríguez-Inurrigarro JA, García-Ramírez R, Arcaute-Velázquez FF
Language: Spanish
References: 12
Page: 366-369
PDF size: 127.73 Kb.
ABSTRACT
Instituted under objective recommendations, Emergency Department Thoracotomy (EDT) has been described as a life-saving
surgical maneuver in trauma patients arriving “in extremis.” Nevertheless, there are few reports related to the experience regarding
the use of the procedure in non-traumatic cardiopulmonary arrest. We describe the case of an obstetric patient exsanguinated
by operative massive bleeding, where EDT was instituted reaching an optimal result for the survival and neurologic
function. Additionally, we evaluate the literature related to this issue, which to the best of our knowledge, is critical to expand
protocols of approach in non-traumatic cardiac arrest rhythm in high-volume hospitals.
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