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Canadian Journal of Anesthesia, Vol 31, 319-322, Copyright © 1984 by Canadian Anesthesiologists' Society

Clinical Reports: Gastric Rupture During Cardiopulmonary Resuscitation

SUSAN KRAUSE MD1 and NEIL DONEN MD1

1 Department of Anaesthesia, University of Manitoba, Winnipeg, Manitoba

Address correspondence to: Neil Donen MD, Department of Anesthesia, St. Boniface General Hospital, 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6.

Gastric rupture following ventilation during cardiopulmonary resuscitation is a rare occurrence. We report two cases of documented gastric rupture plus two additional cases in which the clinical diagnosis of pneumoperitoneum was made and gastric rupture was assumed to be the mechanism. Review of the literature reveals the lesser curvature of the stomach to be the common site of rupture. This complication emphasizes the necessities of correct positioning of the jaw with mouth-to-mouth ventilation and careful assessment of air entry and chest movement following endotracheal intubation.

Key Words: CARDIOPULMONARY RESUSCITATION: complication, endotracheal intubation, mouth-to-mouth ventilation






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Copyright © 1984 by the Canadian Anesthesiologists' Society.