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Point-of-care pleural and lung ultrasound in a newborn suffering from cardiac arrest due to tension pneumothorax after cardiac surgery

Published online by Cambridge University Press:  02 July 2015

Angelo Polito ,
Daniele G. Biasucci  and
Paola Cogo
Angelo Polito
Affiliation:
Department of Paediatric Cardiology, Paediatric Cardiac Intensive Care Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
Daniele G. Biasucci*
Affiliation:
Department of Cardiology, Cardiac Intensive Care Unit, A. Gemelli Medical School, Catholic University of the Sacred Heart, Rome, Italy
Paola Cogo
Affiliation:
Department of Paediatric Cardiology, Paediatric Cardiac Intensive Care Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
*
Correspondence to: Dr D. G. Biasucci, MD, Cardiac Intensive Care Unit, A. Gemelli Teaching Hospital, Catholic University of the Sacred Heart, L.go A. Gemelli 8, Rome 00168, Italy. Tel: +39 063 015 4848; Fax: +39 063 015 4507; E-mail: bias.dg@gmail.com
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Abstract

We report the case of a 12-day-old newborn affected by coarctation of the aorta and intraventricular defect who underwent coarctectomy and pulmonary artery banding. On post-operative day 7, the patient suffered from pulseless electric activity due to tension pneumothorax. Point-of-care ultrasound was performed during cardiopulmonary resuscitation in an attempt to diagnose pneumothorax. The diagnosis was made without delaying or interrupting chest compressions, and the pneumothorax was promptly treated.

Keywords

Cardiac arrestpulseless electric activityultrasoundtension pneumothoraxpaediatric cardiac surgery
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 2 , February 2016 , pp. 400 - 402
Copyright
© Cambridge University Press 2015 

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References

1. Alrajhi, K, Woo, MY, Vaillancourt, C. Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis. Chest 2012; 141: 703–708.Google Scholar
2. De Caen, AR, Kleinman, ME, Chameides, L, et al. Part 10: Paediatric basic and advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation 2010; 81 (Suppl 1): e213–e259.Google Scholar
3. Breitkreutz, R, Price, S, Steiger, HV, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation 2010; 81: 1527–1533.CrossRefGoogle ScholarPubMed
4. Volpicelli, G, Elbarbary, M, Blaivas, M, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012; 38: 577–591.Google Scholar
5. Jensen, MB, Sloth, E, Larsen, KM, Schmidt, MB. Transthoracic echocardiography for cardiopulmonary monitoring in intensive care. Eur J Anaesthesiol 2004; 21: 700–707.Google Scholar
6. Breitkreutz, R, Walcher, F, Seeger, FH. Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support conformed algorithm. Crit Care Med 2007; 35 (Suppl 5): S150–S161.Google Scholar
7. Hernandez, C, Shuler, K, Hannan, H, et al. C.A.U.S.E.: cardiac arrest ultrasound exam a better approach to managing patients in primary non-arrhythmogenic cardiac arrest. Resuscitation 2008; 76: 198–206.Google Scholar
8 Niendorff, DF, Rassias, AJ, Palac, R, et al. Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation 2005; 67: 81–87.Google Scholar