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[Surgically Managed Flail Chest Caused by Resuscitation]
Sonofu Taketani1, Yoshifumi Makimoto, Masafumi Kunitake
1Division of Surgery, Tobata Kyoritsu Hospital, Kitakyushu, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|November 9, 2016
Summary
An 84-year-old male experienced cardiac arrest, likely due to acute exacerbation of his condition. Despite successful resuscitation, flail chest necessitated mechanical ventilation, leading to surgical intervention with a favorable outcome.
Area of Science:
- Cardiology
- Critical Care Medicine
- Thoracic Surgery
Background:
- An 84-year-old male with a history of colon cancer surgery and mild renal impairment presented with cardiac arrest.
- The cardiac arrest was suspected to be a consequence of an acute exacerbation of his underlying condition.
Observation:
- The patient was resuscitated successfully in the emergency room without neurological or renal function deterioration.
- Manual cardiac compression during resuscitation resulted in a flail chest injury.
- The flail chest necessitated mechanical ventilation, indicating a prolonged weaning process.
Findings:
- Surgical intervention was performed due to the anticipated difficulty in ventilator weaning.
- The postoperative course following surgery was favorable.
Implications:
- This case highlights the potential complications of cardiopulmonary resuscitation, such as flail chest.
- It underscores the importance of considering surgical management for severe chest trauma in patients requiring prolonged mechanical ventilation.
- Early surgical intervention can lead to favorable outcomes in complex critical care scenarios.
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