[HSF] Cardiac arrest after redo CABG in a young patient

[Ani Anyanwu]

> No patient in cardiac surgery should die without having> inspected the heart (radical statement but may be life saving occasionaly)> Prasanna
 
I had a mentor who trained in India who used to say the same thing so must be a dictum in the indian surgical school! After 30 minutes of external CPR would you still reopen? Effective CPR in a cardiac patient by this means for prolonged periods, without identification and treatment of a known cause (none identified in this case), is likely not recoverable (as seen here as patient should have woken up by now). Assuming one arrived 30 minutes into the 'code' then there may be a case for doing nothing. Certainly though, if I  am to go the extent of ECMO (very unlikely), I would first open the chest to exclude tamponade (and also to see if there is anything I can do to achieve cardiac recovery post-ECMO.
 
PS - hope to meet you in Leipzig later in the week.
 
Ani



> Date: Tue, 4 Dec 2007 07:11:41 +0100> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Cardiac arrest after redo CABG in a young patient> CC: > > No investigation is fool proof including TEE for tamponade. I have seen> cases where the cardiologists swore that there was no collection but there> was alocal tamponade compressing a graft causing LCOS which was relieved by> On Dec 4, 2007 5:41 AM, <zzhoumd at pol.net> wrote:> > > To forum members,> >> > This weekend I was on call. One of my partners patients developed cardiac> > arrest. He is only 57 year old had redo CABGx5 4 days ago. Weight about> > 300LB. After 30 minutes CPR, he is still asystole. Considering his young> > age, I placed him on ECMO. I thought about BiVAD, but I just do not know if> > his brain will come back. Just wonder if anybody will do anything different.> > I did not reexplore him as TEE show no tampnade and he has no more conduit.> >> > Thanks!> >> > Z Zhou> > Sent via BlackBerry by AT&T> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies> > and> > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> > > > -- > Prasanna Simha M> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
_________________________________________________________________
Telly addicts unite!
http://www.searchgamesbox.com/tvtown.shtml