[HSF] Aortic dissection and CPR

[Ben Bidstrup]

In the UK - it was free to the patient

>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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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon