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Canadian Journal of Anesthesia, Vol 10, 259-263, Copyright © 1963 by Canadian Anesthesiologists' Society

Complications of Closed Chest Cardiac Compression

M. MINUCK M.D.1

1 Director, Department of Anaesthesia, St. Boniface General Hospital, St. Boniface, Manitoba; Assistant Professor, Department of Surgery, Anaesthesia), University of Manitoba, Winnipeg, Manitoba

The author has reviewed the complications of closed chest cardiac compression that have been reported in the literature. These include rib fractures, sternal fractures, haemorrhages into the pericardium, epicardium, and myocardium. Trauma to the great vessels, spleen, and liver has also been reported. A case of massive intraperitoneal bleeding from a lacerated liver that followed "successful" treatment of cardiac arrest by means of closed chest cairdiac compression is presented. The patient had a funnel chest, which resulted in a projection of bone being present in the inner aspect of the lower end of the sternum, and it was felt that this contributed to the severe trauma to the liver. Finally, the author lists a number of situations when the physician should treat cardiac arrest by direct cardiac compression rather than by closed chest cardiac compression.






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Copyright © 1963 by the Canadian Anesthesiologists' Society.