Document Detail


Intra-aortic balloon counterpulsation for cardiogenic shock due to cardiac contusion in an elderly trauma patient.
MedLine Citation:
PMID:  12458071     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blunt thoracic trauma may cause cardiac contusion and cardiogenic shock resistant to inotropic support. The use of intra-aortic balloon counterpulsation (IABCP) as a mechanical means of augmenting cardiac function following cardiac contusion is rare with case reports largely limited to its use in young trauma patients. We describe the case of a frail, 80-year-old woman who suffered cardiac contusion in a motor vehicle crash. She developed cardiogenic shock with electrocardiograph changes, elevated troponin T and severe global dysfunction on echocardiography. She was successfully managed with invasive monitoring, inotropic support and IABCP. This case provides support for aggressive resuscitation even in the very elderly as recovery from severe cardiac contusion may be possible.
Authors:
D J Penney; P G Bannon; M J A Parr
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  55     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-29     Completed Date:  2003-06-24     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  337-40     Citation Subset:  IM    
Affiliation:
Intensive Care Medicine, Liverpool Hospital, Sydney, NSW, Australia.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Aged
Aged, 80 and over
Contusions / blood,  etiology
Echocardiography
Female
Heart Injuries / etiology,  ultrasonography*
Humans
Intra-Aortic Balloon Pumping*
Shock, Cardiogenic / etiology,  therapy*
Treatment Outcome
Troponin / blood
Ventricular Dysfunction / etiology,  ultrasonography*
Wounds, Nonpenetrating / complications*
Chemical
Reg. No./Substance:
0/Troponin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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