Emergency department sternotomy - report of a case with indications and technique overview

The Emergency Department thoracotomy and Emergency Department sternotomy are solutions of the last resort for traumatic cardiorespiratory arrest. Time is the most important factor in terms of survival and sparing potential neurological damage, therefore surgery should not be delayed as it can be don...

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Bibliographic Details
Published inMedica Jadertina Vol. 49; no. 3-4; p. 245
Main Authors Counil, Antoine, Mihanović, Jakov, Dijan, Emilio, Paquier, Laurine, Bačić, Ivan
Format Paper
LanguageEnglish
Published Opća bolnica Zadar 11.03.2020
Subjects
emergency departments
resuscitation
sternotomy
thoracic injuries
thoracotomy
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Summary:The Emergency Department thoracotomy and Emergency Department sternotomy are solutions of the last resort for traumatic cardiorespiratory arrest. Time is the most important factor in terms of survival and sparing potential neurological damage, therefore surgery should not be delayed as it can be done in an emergency room, intensive care unit or in the operating room. We will present a case of a 45-year-old man with a knife stab in his chest and cardiorespiratory arrest during transport in ambulance. Upon arrival at the Emergency Department, sternotomy was performed followed by decompressive pericardiotomy and cardiorrhaphy with successful and uneventful recovery. We will discuss the indications, necessary equipment and surgical technique.
Bibliography:234994
ISSN:0351-0093
1848-817X