| Cardiopulmonary resuscitation in patients with a Nuss bar--a case report and review of the literature. | |
| | |
MedLine Citation:
|
PMID: 16291171 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Pectus excavatum (PE) is a common chest wall deformity that may produce a variety of physiological and psychological effects in children and adolescents. In addition, some of these patients have associated cardiac diseases (ie, mitral valve prolapse and Marfan syndrome). Recently, a minimally invasive surgical repair of PE that requires sternal bar placement has become increasingly frequent to enhance patients' cardiopulmonary functioning as well as their self-esteem. However, despite this innovative technique, it is possible for such patients to have a cardiac arrest while their sternal bar is in place. Whether the presence of a metal bar on the underside of their sternum may hinder resuscitative chest compressions (cardiopulmonary resuscitation) is an issue that concerns us, our patients, and their families; the answer requires further investigation. We present a 21-year-old man with PE who underwent a minimally invasive pectus repair but had a fatal cardiac event before bar removal. Paramedics conducting cardiopulmonary resuscitation on the patient later reported that they were unable to deliver effective cardiac compressions and that the sternal bar may have contributed to this. |
| | |
Authors:
|
Garrett K Zoeller; Garret S Zallen; Philip L Glick |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: Journal of pediatric surgery Volume: 40 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2005 Nov |
Date Detail:
|
Created Date: 2005-11-18 Completed Date: 2006-07-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1788-91 Citation Subset: IM |
Affiliation:
|
Department of Pediatric Surgical Services, The Children's Hospital of Buffalo, Buffalo, NY 14222, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cardiopulmonary Resuscitation / methods* Fatal Outcome Funnel Chest / surgery* Heart Arrest Humans Male Prostheses and Implants* Sternum / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A new fistulectomy method for the second pharyngeal arch remnants.
Next Document: Chronic abdominal pain secondary to a mucous cystadenoma of the appendix in a 10-year-old boy.