Resuscitation thoracotomy

Resuscitation thoracotomy is a rarely performed procedure whose use, in France, remains marginal. It has five specific goals that correspond point-by-point to the causes of traumatic cardiac arrest: decompression of pericardial tamponade, control of cardiac hemorrhage, performance of internal cardia...

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Bibliographic Details
Published in:Journal of visceral surgery 2017-12, Vol.154 Suppl 1, p.S35-S41
Main Authors: Boddaert, G, Hornez, E, De Lesquen, H, Avramenko, A, Grand, B, MacBride, T, Avaro, J-P
Format: Article
Language:English
Subjects:
Heart Arrest - etiology
Heart Arrest - surgery
Heart Injuries - complications
Heart Injuries - surgery
Hemostatic Techniques
Humans
Resuscitation - methods
Thoracic Injuries - complications
Thoracic Injuries - surgery
Thoracotomy
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Summary:Resuscitation thoracotomy is a rarely performed procedure whose use, in France, remains marginal. It has five specific goals that correspond point-by-point to the causes of traumatic cardiac arrest: decompression of pericardial tamponade, control of cardiac hemorrhage, performance of internal cardiac massage, cross-clamping of the descending thoracic aorta, and control of lung injuries and other intra-thoracic hemorrhage. This approach is part of an overall Damage Control strategy, with a targeted operating time of less than 60minutes. It is indicated for patients with cardiac arrest after penetrating thoracic trauma if the duration of cardio-pulmonary ressuscitation (CPR) is
ISSN:1878-7886
1878-7886
DOI:10.1016/j.jviscsurg.2017.07.003