Pneumothoraces Post Mechanical Cardiopulmonary Resuscitation: A Case Series

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Sean Dooley1, Mohamed Mohsen Mansour2

  • 1Division of Internal Medicine.

Respiratory Care
|January 15, 2015
PubMed

Insights

Automated mechanical cardiopulmonary resuscitation (AM-CPR) may lead to pneumothoraces, a rare complication. This case series highlights four instances of pneumothorax following AM-CPR use.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Pulmonology

Background:

  • Automated mechanical cardiopulmonary resuscitation (AM-CPR) devices are increasingly used in resuscitation efforts.
  • The incidence of complications, such as pneumothorax, associated with AM-CPR devices is not well-established.

Observation:

  • This report details four cases of pneumothorax that occurred within a two-month period in patients receiving AM-CPR.
  • All four cases utilized the Life-Stat 1008 device for AM-CPR.
  • Pneumothoraces were confirmed via post-resuscitation imaging in all patients.

Findings:

  • Two cases involved in-hospital cardiac arrests and two involved out-of-hospital cardiac arrests.
  • Pre-existing conditions like obstructive lung disease and malignancy were present in two cases each.
  • Potential contributing factors include device malpositioning and improper use of shoulder straps.

Implications:

  • These findings suggest a potential association between AM-CPR and pneumothorax, warranting further investigation.
  • Additional research is necessary to determine the comparative incidence of complications between AM-CPR devices and manual CPR.
  • Understanding these risks is crucial for optimizing patient safety during resuscitation procedures.
Keywords:
CPRLife-Stat 1008automated mechanical CPRcardiac arrestpneumothoraxresuscitation

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