Traumatic Pancreatitis: A Rare Complication of Cardiopulmonary Resuscitation

Gastric perforation is a rare complication of cardiopulmonary resuscitation (CPR), mostly resulting from incorrect airway management. If left unrecognized, it is associated with high mortality and morbidity. We present a case of gastric perforation after improper CPR. A 56-year-old drunken male was sent to the emergency department due to coma after fall onto the ground. He was thought to have cardiac arrest at scene and was saved with CPR maneuver by his friends who has never been trained before. He was taken to the hospital by emergency medical service personnel and presented with abdominal distention and extensive pneumoperitoneum. Emergency laparotomy was performed which revealed gastric perforation at the lesser curvature of the stomach. The laceration was repaired without any difficulty and the patient was discharged home without any neurological deficit. The aim of this report is to remind the public and emergency physicians that gastric perforation should be suspected in patients with distended abdomen and pneumoperitoneum after CPR. Because the most common risk factor for CPR-related gastric perforation is the bystander-provided resuscitation, it is encouraged for the public to take formal CPR training. doi: https://doi.org/10.12669/pjms.36.2.1363 How to cite this:Zhou GJ, Jin P, Jiang SY. Gastric perforation following improper cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1363 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Cardiac rupture by penetration of fractured sternum: a rare complication of cardiopulmonary resuscitation

Resuscitation ◽

10.1016/s0300-9572(99)00137-9 ◽

2000 ◽

Vol 43 (2) ◽

pp. 151-153 ◽

Cited By ~ 36

Author(s):

M Machii ◽

H Inaba ◽

H Nakae ◽

I Suzuki ◽

H Tanaka

Keyword(s):

Cardiopulmonary Resuscitation ◽

Rare Complication ◽

Cardiac Rupture

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Tear of long head of biceps following cardiopulmonary resuscitation: a rare complication

BMJ Case Reports ◽

10.1136/bcr-2019-229218 ◽

2019 ◽

Vol 12 (5) ◽

pp. e229218

Author(s):

Deepanjan Bhattacharya ◽

Pratap Patra ◽

Rakesh Kumar Pilania ◽

Ankur Kumar Jindal

Keyword(s):

Cardiopulmonary Resuscitation ◽

Biceps Brachii ◽

Glenohumeral Joint ◽

Rare Complication ◽

Senior Resident ◽

Left Shoulder ◽

Routine Practice ◽

Unusual Complication ◽

Long Head Of Biceps ◽

Long Head

Cardiopulmonary resuscitation (CPR) is uncommon in routine practice of a paediatrician and injuries arising out of CPR are extremely rare especially in those involving children. A 41-year-old senior resident of paediatrics performed CPR on a young boy, following which he complained of pain in the left shoulder with restriction of all movements and flexion of the left elbow. MRI of the left shoulder revealed tear of the long head of biceps brachii, soft tissue oedema in left deltoid muscle and mild effusion in left glenohumeral joint with extension into subcapsularis bursa. He was treated conservatively with analgesics, following which there was significant improvement and full recovery of shoulder movements. Injuries to the resuscitator have been rarely reported in literature and mostly limited to adult CPR. We report this case to highlight an unusual complication to resuscitator transpiring from paediatric resuscitation.

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Intestinal anastomosis blowout following post-operative cardiopulmonary resuscitation: A case report

International Journal of Case Reports ◽

10.28933/ijcr-2020-12-1005 ◽

2021 ◽

pp. 190

Author(s):

◽

Keyword(s):

Cardiopulmonary Resuscitation ◽

Rare Complication ◽

Bowel Perforation ◽

Intestinal Anastomosis ◽

Clinical Status ◽

Colorectal Anastomosis ◽

Pulseless Electrical Activity ◽

Operative Management ◽

Sigmoid Resection ◽

Water Soluble

Background: Pneumoperitoneum following cardiopulmonary resuscitation (CPR) is a very rare complication with a challenging management. In this paper we describe the management of a patient who suffered a blowout of his colorectal anastomosis after undergoing CPR for a cardiac arrest in the early post-operative period. Additionally, we present a thorough literature review of the management of CPR-related pneumoperitoneum. Summary: Five days after a sigmoid resection for colon cancer, a 71-year-old male went into pulseless electrical activity and CPR was initiated, with complete clinical recovery. After CPR the patient was found to have new hydropneumothorax and pneumoperitoneum. Because he had a normal abdominal examination, lack of leukocytosis, and no evidence of a bowel perforation on water-soluble CT imaging, the patient was initially managed non-operatively with close clinical follow-up. However, he failed the non-operative management and ultimately required a laparotomy demonstrating a blowout of his colonic anastomosis. Conclusion: Physicians should remain aware of the risk of damage to fresh bowel anastomoses following CPR. There should be a low threshold for surgical exploration in patients that develop CPR-related pneumoperitoneum soon after intestinal surgery, even when patient’s clinical status is stable.

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Central Diabetes Insipidus caused by Therapeutic Hypothermia after Cardiopulmonary Resuscitation with Carbon Monoxide Poisoning：A Case Report

10.21203/rs.3.rs-1019779/v1 ◽

2021 ◽

Author(s):

Shi Lei ◽

Haijing Song

Keyword(s):

Heart Rate ◽

Carbon Monoxide ◽

Cardiopulmonary Resuscitation ◽

Diabetes Insipidus ◽

Therapeutic Hypothermia ◽

Urine Output ◽

Rare Complication ◽

Carbon Monoxide Poisoning ◽

Clinical Manifestations ◽

Central Diabetes Insipidus

Abstract Central diabetes insipidus(DI) usually has hypernatremia and increased urine output as the main clinical manifestations. It is also a rare complication of therapeutic hypothermia after cardiopulmonary resuscitation and carbon monoxide poisoning, but it may be fatal if it is not recognized in time. This case describes a patient who experienced cardiac arrest due to carbon monoxide poisoning, and then successfully restored his spontaneous heart rate after cardiopulmonary resuscitation. However, the patient experienced unexpected hypernatremia and increased urine output during therapeutic hypothermia, and was diagnosed with central DI as a complication of cerebral edema. After treatment, he eventually developed spontaneous breathing and corrected electrolyte imbalances.Central DI should be taken seriously as a possible complication of increased urine output during therapeutic hypothermia after carbon monoxide poisoning cardiopulmonary resuscitation, and pituitary vasopressin should be used to treat central DI.

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