| Intravascular gas in multiple organs detected by postmortem computed tomography: effect of prolonged cardiopulmonary resuscitation on organ damage in patients with cardiopulmonary arrest. | |
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MedLine Citation:
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PMID: 21359941 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 76-year-old woman was found in cardiopulmonary arrest with her head submerged in water in a bathtub. Despite cardiopulmonary resuscitation (CPR) for over 1 h by professional emergency technicians and medical doctors, the patient died. Postmortem computed tomography revealed not only pulmonary edema associated with drowning but also the presence of intravascular gas in the pulmonary artery, liver, kidneys, heart (right ventricle), and brain. It was speculated that intravascular gas was generated and spread to multiple organs during CPR procedures via the alimentary tract and lungs, which had been damaged by ischemia after cardiopulmonary arrest. Prolonged CPR procedures may involve the risk of additional organ damage and systemic air emboli. |
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Authors:
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Takahiro Zenda; Teruhiko Takayama; Masaji Miyamoto; Shizuko Yamaguchi; Tamao Endo; Hideo Inaba |
Publication Detail:
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Type: Journal Article Date: 2011-02-27 |
Journal Detail:
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Title: Japanese journal of radiology Volume: 29 ISSN: 1867-108X ISO Abbreviation: Jpn J Radiol Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-03-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101490689 Medline TA: Jpn J Radiol Country: Japan |
Other Details:
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Languages: eng Pagination: 148-51 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Tsurugi Municipal Hospital, Tsurugi-Mito-machi, Hakusan, 920-2134, Japan, t-zenda@tsurugihp.jp. |
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