| Pneumatosis intestinalis and hepatic portal venous gas after CPR. | |
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MedLine Citation:
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PMID: 15765340 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pneumatosis intestinalis and hepatic portal venous gas are usually associated with severe intra-abdominal pathologies. As diagnostic technologies advanced, a number of variant etiologies have been identified. We report 2 cases in which pneumatosis intestinalis and hepatic portal venous gas developed after prolonged cardiopulmonary resuscitation (CPR). The pathogenic mechanism was most probably bowel infarction caused by poor mesenteric perfusion during and after CPR. Limited cardiac output during prolonged resuscitation and severe vasoconstriction after large doses of epinephrine and vasopressors might both contribute to the compromised mesenteric perfusion. The risk seems especially high for old patients with severe atherosclerosis. Once it happens, the prognosis is extremely poor. In patients of cardiac arrests receiving prolonged CPR, catastrophic complications like this should be considered in the postresuscitation phase, especially those with multiple risk factors like old age, severe atherosclerosis, and use of large doses of vasoconstrictors. |
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Authors:
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Chun-Fu Lai; Wei-Tien Chang; Po-Chin Liang; Wan-Ching Lien; Hsiu-Po Wang; Wen-Jone Chen |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 23 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-03-14 Completed Date: 2005-05-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 177-81 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cardiopulmonary Resuscitation / adverse effects* Electric Countershock Embolism, Air / diagnosis, etiology Emergency Medicine / methods* Fatal Outcome Heart Arrest / therapy Humans Male Middle Aged Pneumatosis Cystoides Intestinalis / diagnosis*, etiology* Portal Vein* Shock / complications, therapy Ventricular Fibrillation / etiology, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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