Naheed Habibullah1, Salman Muhammad Soomar2, Noman Ali3. 1. Department of Emergency Medicine, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: naheed.habibullah@aku.edu. 2. Department of Emergency Medicine, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: salman.soomar@aku.edu. 3. Department of Emergency Medicine, Aga Khan University, Stadium Road, Karachi 74800, Pakistan. Electronic address: noman.ali@aku.edu.
Abstract
INTRODUCTION AND IMPORTANCE: High-quality cardiopulmonary resuscitation (CPR) is the foundation of cardiac arrest resuscitation. Pneumoperitoneum due to gastric perforation is a rare surgical complication of CPR that, if left untreated, can result in significant morbidity and mortality. CASE PRESENTATION: We present a 51-year-old male patient with sealed perforation who received an urgent but non-diagnostic exploratory laparotomy after initial esophageal intubation and resuscitation in cardiac arrest, despite significant evidence of surgical pneumoperitoneum. CLINICAL DISCUSSION: It is unusual to experience spontaneous pneumoperitoneum after cardiopulmonary resuscitation. We should promote cardiopulmonary resuscitation training for both medical and non-medical personnel. CONCLUSION: Early endotracheal intubation, avoidance of esophageal intubation, and quick insertion of an orogastric tube may reduce the risk of gastric perforation.
INTRODUCTION AND IMPORTANCE: High-quality cardiopulmonary resuscitation (CPR) is the foundation of cardiac arrest resuscitation. Pneumoperitoneum due to gastric perforation is a rare surgical complication of CPR that, if left untreated, can result in significant morbidity and mortality. CASE PRESENTATION: We present a 51-year-old male patient with sealed perforation who received an urgent but non-diagnostic exploratory laparotomy after initial esophageal intubation and resuscitation in cardiac arrest, despite significant evidence of surgical pneumoperitoneum. CLINICAL DISCUSSION: It is unusual to experience spontaneous pneumoperitoneum after cardiopulmonary resuscitation. We should promote cardiopulmonary resuscitation training for both medical and non-medical personnel. CONCLUSION: Early endotracheal intubation, avoidance of esophageal intubation, and quick insertion of an orogastric tube may reduce the risk of gastric perforation.
Authors: T J Hartoko; H E Demey; P E Rogiers; H L Decoster; J M Nagler; L L Bossaert Journal: Acta Anaesthesiol Scand Date: 1991-04 Impact factor: 2.105
Authors: Robert W Neumar; Charles W Otto; Mark S Link; Steven L Kronick; Michael Shuster; Clifton W Callaway; Peter J Kudenchuk; Joseph P Ornato; Bryan McNally; Scott M Silvers; Rod S Passman; Roger D White; Erik P Hess; Wanchun Tang; Daniel Davis; Elizabeth Sinz; Laurie J Morrison Journal: Circulation Date: 2010-11-02 Impact factor: 29.690