Dooley Sean, Mansour Mohamed Mohsen
Division of Internal Medicine.
Division of Pulmonary and Critical Care, Department of Medicine, Stony Brook University Hospital, Stony Brook, New York.
Respir Care. 2015 Jul;60(7):e118-21. doi: 10.4187/respcare.03334. Epub 2015 Jan 13.
The incidence of pneumothoraces with automated cardiopulmonary resuscitation (CPR) is unknown. Herein, we present 4 cases of pneumothoraces occurring in the setting of automated mechanical CPR (AM-CPR) in a 2-month period since incorporating mechanical devices into our resuscitation program. Two of the cases were in-hospital cardiac arrests, whereas the other 2 were out-of-hospital cardiac arrests. The Life-Stat 1008 device was utilized for AM-CPR in all cases. All cases demonstrated confirmed pneumothoraces on post-resuscitation imaging. Several factors may have contributed to the observed pneumothoraces. Two of the cases presented with obstructive lung disease, whereas the other 2 had underlying malignancy. Suboptimal positioning and failure to secure the included shoulder straps could have led to migration of the piston over the ribs. Further study is needed to determine the incidence of complications for all FDA-approved AM-CPR devices compared with manual chest compressions.
自动心肺复苏（CPR）时气胸的发生率尚不清楚。在此，我们报告在将机械设备纳入复苏计划后的两个月内，自动机械CPR（AM-CPR）过程中发生的4例气胸病例。其中2例为院内心脏骤停，另外2例为院外心脏骤停。所有病例均使用Life-Stat 1008设备进行AM-CPR。所有病例在复苏后影像学检查中均证实存在气胸。有几个因素可能导致了观察到的气胸。其中2例患有阻塞性肺病，另外2例有潜在恶性肿瘤。定位欠佳以及未能固定所配备的肩带可能导致活塞在肋骨上移位。需要进一步研究以确定与手动胸外按压相比，所有经美国食品药品监督管理局（FDA）批准的AM-CPR设备的并发症发生率。
