Eck Torsten, Mueller-Botz Stephan, Klausenitz Catharina, Usichenko Taras
Department of Anesthesiology, University Medicine of Greifswald, Greifswald, Germany.
Department of Radiology, University Medicine of Greifswald, Greifswald, Germany.
Turk J Anaesthesiol Reanim. 2021 Jun;49(3):254-256. doi: 10.5152/TJAR.2021.318.
Computed tomography (CT) may be used to determine the reversible causes of in-hospital cardiac arrest (IHCA), while the automated chest compression devices (ACCDs) might be helpful to maintain sufficient circulation in x-ray environment during CT. We describe a case, where ACCD was used for continuous cardiopulmonary resuscitation during the CT procedure in an 82-year-old patient with IHCA of unknown cause. Artifact-free CT helped to identify the retroperitoneal hemorrhage as a cause of IHCA, which could not be identified using bedside diagnostics. This observation suggests ACCDs as a helpful adjunct for cardiopulmonary resuscitation in patients undergoing CT diagnostics of IHCA.
计算机断层扫描（CT）可用于确定院内心脏骤停（IHCA）的可逆性病因，而自动胸外按压装置（ACCD）可能有助于在CT检查期间于X线环境中维持充足的循环。我们描述了一例病例，一名82岁不明原因IHCA患者在CT检查过程中使用ACCD进行持续心肺复苏。无伪影的CT有助于确定腹膜后出血为IHCA的病因，而床边诊断无法识别该病因。这一观察结果表明，ACCD对于接受IHCA的CT诊断的患者而言，是心肺复苏的一种有用辅助手段。
