Document Detail


Intravascular gas in multiple organs detected by postmortem computed tomography: effect of prolonged cardiopulmonary resuscitation on organ damage in patients with cardiopulmonary arrest.
MedLine Citation:
PMID:  21359941     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Takahiro Zenda; Teruhiko Takayama; Masaji Miyamoto; Shizuko Yamaguchi; Tamao Endo; Hideo Inaba
Publication Detail:
Type:  Journal Article     Date:  2011-02-27
Journal Detail:
Title:  Japanese journal of radiology     Volume:  29     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  148-51     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Tsurugi Municipal Hospital, Tsurugi-Mito-machi, Hakusan, 920-2134, Japan, t-zenda@tsurugihp.jp.
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