[HSF] Aortic dissection and CPR

[Michael Firstenberg]

Ben,

Was that before or after you told them how much everything was going to
cost?

-michael


On 9/10/07, Ben Bidstrup <benjamin.bidstrup at bigpond.com> wrote:
>
> I have had them arrest just after I had spoken to the patient and as
> i was informing the family of the risks!
>
> >In my very very limited humble opinion, if they are arresting and unless
> you
> >are in the OR or they have young brains, then the cat may be out of the
> >bag........
> >
> >anyone ever have a dissection survive with CPR in progress?
> >
> >
> >-michael
> >
> >
> >On 9/10/07, james le <jamesle2007 at yahoo.com> wrote:
> >>
> >>  We recently had a   case of Aortic dissection   transferred from some
> >>  other hospital for surgery. He had dissection   aorta involving the
> entire
> >>  aorta along with severe AR.
> >>  On arrival BP   was 90 systolic, all pulses   palpable and   there was
> no
> >>  neurological deficit
> >>    At ER he suddenly developed severe Bradycardia   and   arrested and
> >>  resuscitation was unsuccessful. TEE done after death   showed only
> small
> >>  amount of pericardial collection.
> >>
> >>    During CPR we had   a concern that vigorous massage could rupture
> aorta.
> >>  How can we salvage such patients?
> >>
> >>  Percutaneous bypass before we take to OR will help?
> >>
> >>
> >>
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>
> --
> Ben Bidstrup FRACS FRCSEd FEBCTS
> Consultant Cardiothoracic Surgeon
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