Lesser F D, Yakubi M, Rochester S, Evans J, Highgate J
Conquest Hospital Hastings UK.
Resuscitation Department East Sussex NHS Healthcare Trust UK.
Anaesth Rep. 2020 Mar 2;8(1):10-13. doi: 10.1002/anr3.12025. eCollection 2020 Jan-Jun.
A 45-year-old man suffered compartment syndrome of the hands as a complication of prolonged cardiopulmonary resuscitation. He was admitted following a hypothermic out-of-hospital cardiac arrest due to cold-water submersion. The patient was in cardiac arrest for 4 h with mechanical cardiopulmonary resuscitation delivered using the Lund University Cardiac Arrest System (Jolife AB, Lund, Sweden). Cardiopulmonary resuscitation along with aggressive rewarming achieved return of spontaneous circulation. He developed compartment syndrome in his left hand which was likely exacerbated by having his arm strapped to the Lund University Cardiac Arrest System device throughout the resuscitation. The compartment syndrome was managed conservatively. Despite preservation of neurological function the patient died of complications from the cardiac arrest after an extended intensive care unit stay. We recommend healthcare providers unstrap patient's hands during prolonged mechanical cardiopulmonary resuscitation.
一名45岁男性因长时间心肺复苏的并发症而出现手部骨筋膜室综合征。他因冷水浸没导致体温过低的院外心脏骤停后入院。患者心脏骤停4小时，使用隆德大学心脏骤停系统（瑞典隆德的Jolife AB公司）进行机械心肺复苏。心肺复苏术加上积极复温使自主循环恢复。他的左手出现了骨筋膜室综合征，这可能因在整个复苏过程中手臂被绑在隆德大学心脏骤停系统设备上而加重。骨筋膜室综合征采用保守治疗。尽管保留了神经功能，但患者在延长的重症监护病房住院后死于心脏骤停的并发症。我们建议医疗保健提供者在长时间机械心肺复苏期间解开患者的手部束缚。
