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Journal of Cardiothoracic Surgery

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Open Access 01-12-2017 | Case report

Unexpected collateral impact after out of hospital resuscitation using LUCAS system

Authors: Jasmin Hasmik Shahinian, Jonas Quitt, Mark Wiese, Friedrich Eckstein, Oliver Reuthebuch

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

Mechanical chest compression using a piston device during reanimation is often the only way to ensure stable chest compression at a constant rate and force. However, its use can be associated with severe fractures of the thoracic rib cage and endanger the clinical course of the patient. Thus, the usage of such a piston device during the reanimation has currently been classified as a mere Class IIB indication.

Case presentation

We present a case of a 66-year-old male who underwent emergent CABG surgery after receiving out-of-hospital resuscitation as a result of myocardial infarction using the LUCAS system. Due to severe bilateral rib fractures a concomitant emergency chest-wall stabilization surgery had to be performed to ensure uncompromised graft flow to obtain stable cardiac function and hemodynamics.

Conclusions

Reanimation using LUCAS-System might enable stable resuscitation conditions. However, it is crucial not to underestimate potential collateral damage which can in turn aggravate patient’s clinical condition.

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Title: Unexpected collateral impact after out of hospital resuscitation using LUCAS system
Authors: Jasmin Hasmik Shahinian
Jonas Quitt
Mark Wiese
Friedrich Eckstein
Oliver Reuthebuch
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0643-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Unexpected collateral impact after out of hospital resuscitation using LUCAS system

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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