Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump
Cardiac arrest during surgery is rare but is one of the most dreaded complications. Precordial thump (PT) had been used for a long time, but in the present day it has become obsolete. In regard to the witnessed onset of asystole, there is insufficient evidence to recommend for or against the use of...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Medical Journal
2020-12-01
|
| Series: | European Medical Journal |
| Subjects: |
| _version_ | 1819145869221429248 |
|---|---|
| author | Sitelnissa Saeed Ahmed Gamal Abdalla Mohamed Ejaimi Areeg Izzeldin Ahmed Yousif |
| author_facet | Sitelnissa Saeed Ahmed Gamal Abdalla Mohamed Ejaimi Areeg Izzeldin Ahmed Yousif |
| author_sort | Sitelnissa Saeed Ahmed |
| collection | DOAJ |
| description | Cardiac arrest during surgery is rare but is one of the most dreaded complications. Precordial thump (PT) had been used for a long time, but in the present day it has become obsolete. In regard to the witnessed onset of asystole, there is insufficient evidence to recommend for or against the use of the PT. This case report is of a 17-year-old male who presented to hospital with a congenital haemangioma on the right calf. He had no other significant medical conditions and was on no other medications. The patient history, clinical examination, and investigations were normal. He had undergone an operation 3 weeks previously where a section of his haemangioma was excised, and an appointment was made for excision of the remaining haemangioma. Anaesthesia induction and endotracheal intubation were smooth and uneventful. Following lifting and exsanguination of the patient’s leg by Esmarch bandage, he developed ventricular fibrillation and arrested with asystole. Cardiopulmonary resuscitation was performed, with no good response, for approximately 50 minutes. Lastly, a PT was performed, and the patient’s heart rate immediately returned. The operation was postponed. Postresuscitation care was conducted in an intensive care unit. The patient was later discharged without complications. |
| first_indexed | 2024-12-22T13:04:53Z |
| format | Article |
| id | doaj.art-92f33278d01a4fc4bead5a76851702d8 |
| institution | Directory Open Access Journal |
| issn | 2397-6764 |
| language | English |
| last_indexed | 2024-12-22T13:04:53Z |
| publishDate | 2020-12-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal |
| spelling | doaj.art-92f33278d01a4fc4bead5a76851702d82022-12-21T18:24:54ZengEuropean Medical JournalEuropean Medical Journal2397-67642020-12-015410610910.33590/emjcardiol/20-00024Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial ThumpSitelnissa Saeed Ahmed0Gamal Abdalla Mohamed Ejaimi1Areeg Izzeldin Ahmed Yousif2Intensive Care, Aseer Central Hospital, Abha, Saudi ArabiaDepartment of Anesthesia and Intensive Care, Sabah Al-Salem, KuwaitDepartment of Anesthesia and Intensive Care, Ahmed Gasim Hospital Heart Surgery and Kidney Transplant Center, Khartoum North, SudanCardiac arrest during surgery is rare but is one of the most dreaded complications. Precordial thump (PT) had been used for a long time, but in the present day it has become obsolete. In regard to the witnessed onset of asystole, there is insufficient evidence to recommend for or against the use of the PT. This case report is of a 17-year-old male who presented to hospital with a congenital haemangioma on the right calf. He had no other significant medical conditions and was on no other medications. The patient history, clinical examination, and investigations were normal. He had undergone an operation 3 weeks previously where a section of his haemangioma was excised, and an appointment was made for excision of the remaining haemangioma. Anaesthesia induction and endotracheal intubation were smooth and uneventful. Following lifting and exsanguination of the patient’s leg by Esmarch bandage, he developed ventricular fibrillation and arrested with asystole. Cardiopulmonary resuscitation was performed, with no good response, for approximately 50 minutes. Lastly, a PT was performed, and the patient’s heart rate immediately returned. The operation was postponed. Postresuscitation care was conducted in an intensive care unit. The patient was later discharged without complications.anaesthesiacardiac arrestcardiopulmonary resuscitation (cpr)intraoperativepostresuscitation carepulmonary embolism (pe) |
| spellingShingle | Sitelnissa Saeed Ahmed Gamal Abdalla Mohamed Ejaimi Areeg Izzeldin Ahmed Yousif Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump European Medical Journal anaesthesia cardiac arrest cardiopulmonary resuscitation (cpr) intraoperative postresuscitation care pulmonary embolism (pe) |
| title | Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump |
| title_full | Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump |
| title_fullStr | Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump |
| title_full_unstemmed | Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump |
| title_short | Prolonged Intraoperative Cardiac Arrest in a Young Patient with Successful Precordial Thump |
| title_sort | prolonged intraoperative cardiac arrest in a young patient with successful precordial thump |
| topic | anaesthesia cardiac arrest cardiopulmonary resuscitation (cpr) intraoperative postresuscitation care pulmonary embolism (pe) |
| work_keys_str_mv | AT sitelnissasaeedahmed prolongedintraoperativecardiacarrestinayoungpatientwithsuccessfulprecordialthump AT gamalabdallamohamedejaimi prolongedintraoperativecardiacarrestinayoungpatientwithsuccessfulprecordialthump AT areegizzeldinahmedyousif prolongedintraoperativecardiacarrestinayoungpatientwithsuccessfulprecordialthump |