Abstract
We retrospectively investigated the risk factors for the occurrence of traumatic vacuum phenomenon (TVP) after chest compression for patients with cardiopulmonary arrest (CPA) using computed tomography (CT). A medical chart review was performed for all patients with out-of-hospital endogenous CPA. The subjects were divided into two groups: TVP + group and the TVP – group. 110 patients were enrolled as subjects. TVP was observed in 33. The rates of witness collapse and rib fracture were significantly higher in the TVP + group than in the TVP – group. The duration from the commencement of CPR by emergency medical technicians to the CT examination in the TVP + group was significantly longer than in the TVP – group. Accordingly, among patients with out-of-hospital CPA, witness collapse, rib fracture and a longer duration from the commencement of cardiopulmonary resuscitation (CPR) by EMTs to the CT examination were risk factors for TVP.
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References
Travers, A.H., Perkins, G.D., Berg, R.A., Castren, M., Considine, J., Escalante, R., Gazmuri, R.J., Koster, R.W., Lim, S.H., Nation, K.J., Olasveengen, T.M., Sakamoto, T., Sayre, M.R., Sierra, A., Smyth, M.A., Stanton, D., Vaillancourt, C.: Basic life support chapter collaborators. Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 132(16 Suppl. 1), S51–S83 (2015)
American Heart Association: Highlights of the 2015 American Heart Association Guidelines update for CPR and ECC (2015)
Koga, Y., Fujita, M., Yagi, T., Nakahara, T., Miyauchi, T., Kaneda, K., Kawamura, Y., Oda, Y., Tsuruta, R.: Effects of mechanical chest compression device with a load-distributing band on post-resuscitation injuries identified by post-mortem computed tomography. Resuscitation 96, 226–231 (2015)
Hoke, R.S., Chamberlain, D.: Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation 63, 327–338 (2004)
Oberladstaetter, D., Braun, P., Freund, M.C., Rabl, W., Paal, P., Baubin, M.: Autopsy is more sensitive than computed tomography in detection of LUCAS-CPR related non-dislocated chest fractures. Resuscitation 83, e89–e90 (2012)
Lederer, W., Mair, D., Rabl, W., Baubin, M.: Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. Resuscitation 60, 157–162 (2004)
Ohsaka, H., Ishikawa, K., Jitsuiki, K., Yanagawa, Y.: Factors affecting difficulty in extubation after initial successful resuscitation in cardiopulmonary arrest patients. J. Emerg. Trauma Shock 9, 88–89 (2016)
Jeavons, R.P., Dowen, D., Rushton, P.R., Chambers, S., O’Brien, S.: Management of significant and widespread, acute subcutaneous emphysema: should we manage surgically or conservatively? J. Emerg. Med. 46, 21–27 (2014)
Lin, L.W., Wu, C.C., Chong, L.W., Lin, A.C.: Periampullary diverticulum perforation following endoscopic retrograde cholangiopancreatography (ERCP); a case report. Emergency (Tehran) 3, 78–80 (2015)
Parmaksızoglu, F., Koprulu, A.S., Unal, M.B.: Massive subcutaneous emphysema and pneumomediastineum after finger subtotal amputation with barotrauma. J. Emerg. Med. 41, e79–e82 (2011)
Chang, C.Y., Cheng, S.L., Chang, S.C.: Conservative treatment of severe tracheal laceration after endotracheal intubation. Respir. Care 56, 861–862 (2011)
Verelst, W., Verbrugghe, W., Lammens, M., Snoeckx, A., Jorens, P.G.: Ventilation-induced massive lethal air embolism and subcutaneous emphysema in a patient with a lung cavern. Respir. Care 60, e6–e10 (2015)
Kajino, K., Kitamura, T., Iwami, T., Daya, M., Ong, M.E., Nishiyama, C., Sakai, T., Tanigawa-Sugihara, K., Hayashida, S., Nishiuchi, T., Hayashi, Y., Hiraide, A., Shimazu, T.: Impact of the number of on-scene emergency life-saving technicians and outcomes from out-of-hospital cardiac arrest in Osaka City. Resuscitation 85, 59–64 (2014)
Acknowledgments
This work received funding from Ministry of Education, Culture, Sports, Science and Technology (MEXT)-Supported Program for the Strategic Research Foundation at Private Universities, 2015–2019. The title is [The constitution of total researching system for comprehensive disaster, medical management, corresponding to wide-scale disaster].
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Yanagawa, Y. et al. (2019). Risk Factors for the Occurrence of Traumatic Vacuum Phenomenon After Chest Compression for Patients with Cardiac Arrest. In: Ntalianis, K., Croitoru, A. (eds) Applied Physics, System Science and Computers II. APSAC 2017. Lecture Notes in Electrical Engineering, vol 489. Springer, Cham. https://doi.org/10.1007/978-3-319-75605-9_12
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DOI: https://doi.org/10.1007/978-3-319-75605-9_12
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