Renz B M, Stout M J
Emory University School of Medicine, Atlanta, Georgia.
Am Surg. 1994 Dec;60(12):946-9.
A simple rapid technique for cannulating the right atrium during a resuscitative Emergency Department thoracotomy (EDT) for exsanguinating trauma is described. Following the thoracotomy and pericardiotomy, an ordinary Foley urinary bladder balloon catheter is inserted into the right atrial appendage for rapid, large volume normothermic blood and fluid infusion. A method for simplifying this maneuver, as well as the potential complications of over-resuscitation with myocardial distention and fluid overload, myocardial cooling, air embolism, and tricuspid valve occlusion are discussed. We recognize that this technique is radical and applicable to only a limited subset of severely injured patients, for example, victims of non-cardiac penetrating trauma who arrive at the hospital moribund or who arrest in the emergency center.
描述了一种在急诊室开胸复苏术（EDT）期间用于对因大出血性创伤而进行复苏的患者进行右心房插管的简单快速技术。在开胸和心包切开术后，将一根普通的Foley膀胱导尿管插入右心耳，以便快速、大量输注常温血液和液体。讨论了简化此操作的方法，以及过度复苏导致心肌扩张和液体过载、心肌冷却、空气栓塞和三尖瓣阻塞的潜在并发症。我们认识到，这项技术是激进的，仅适用于有限的一部分重伤患者，例如，非心脏穿透性创伤的受害者，他们到达医院时已濒死或在急诊中心发生心跳骤停。
