Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest
Autor: | Ferdia Bolster, Kellie Sheehan, Gregor M. Dunham, Alexandre Perez-Girbes, Ken F. Linnau |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Rib Fractures Thoracic Injuries medicine.medical_treatment Whole body ct Abdominal Injuries 030204 cardiovascular system & hematology Return of spontaneous circulation 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Pneumomediastinum Cardiopulmonary resuscitation Hospital Mortality Tomography Neuroradiology Aged Retrospective Studies medicine.diagnostic_test business.industry Wounds and injuries 030208 emergency & critical care medicine Interventional radiology Sudden cardiac arrest General Medicine Middle Aged medicine.disease Cardiopulmonary Resuscitation Death Sudden Cardiac Pneumothorax X-Ray computed Anesthesia Cardiology Female Radiology Emergencies medicine.symptom business Tomography X-Ray Computed Out-of-Hospital Cardiac Arrest |
Zdroj: | EUROPEAN RADIOLOGY r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
ISSN: | 1432-1084 0938-7994 |
Popis: | Aims and objectivesWe have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT.Methods and materialsSingle-centre retrospective review of 39 patients (13 female; 20 male, mean age 51.8 years) with non-traumatic, out-of-hospital SCA and ROSC and evaluation with dedicated SCA-WBCT over a 10-month period.ResultsIn-hospital mortality was 54%. CPR-related injuries were detected in 85% (33/39).Chest injuries were most common on WBCT: 85% (33) subjects had rib fractures (mean of 8.5 fractures/subject); 31% (12) sternal fractures; 13% (5) mediastinal haematoma; 10% (4) pneumothorax; 8% (3) pneumomediastinum and 3% (1) haemothorax. Three subjects (8%) had abdominal injuries on WBCT, including one hepatic haematoma with active haemorrhage.ConclusionCPR-related injuries on WBCT after ROSC are common, with serial rib fractures detected most commonly. An unexpectedly high rate of abdominal injuries was detected on SCA-WBCT. Radiologists need to be attuned to the spectrum of CPR-related injuries in WBCT, including abdominal injuries and subtle rib fractures.Key Points center dot CPR frequently causes injuries.center dot Radiologists should be aware of the spectrum of CPR related injuries.center dot Rib fractures are frequent and radiologic findings often subtle.center dot Clinically unexpected abdominal injuries may be present. |
Databáze: | OpenAIRE |
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