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Updated: Feb 22, 2026
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
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Resuscitation thoracotomy
G Boddaert1, E Hornez2, H De Lesquen3
1Thoracic and vascular surgery department, Percy Military teaching hospital, 101, avenue Henri Barbusse, 92104 Clamart, France.
Journal of Visceral Surgery
|September 25, 2017
Summary
Resuscitation thoracotomy, a critical procedure for traumatic cardiac arrest, offers a 12% survival rate. This emergency intervention is vital for specific trauma cases, particularly penetrating injuries.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Cardiothoracic Surgery
Background:
- Resuscitation thoracotomy is an infrequently utilized procedure in France.
- It addresses specific causes of traumatic cardiac arrest, including pericardial tamponade and hemorrhage.
- This procedure aligns with Damage Control resuscitation strategies.
Purpose of the Study:
- To outline the indications and goals of resuscitation thoracotomy.
- To evaluate the survival rates and neurological outcomes associated with the procedure.
- To assess its justification in mass casualty events.
Main Methods:
- Review of indications for resuscitation thoracotomy in traumatic cardiac arrest.
- Analysis of procedural goals: pericardial decompression, hemorrhage control, cardiac massage, aortic cross-clamping, and thoracic injury management.
- Evaluation of patient outcomes based on trauma type and resuscitation duration.
Main Results:
- Overall survival rate is 12%, with a 12% incidence of neurological sequelae.
- Survival rates vary: 10% for penetrating trauma (20% for stab wounds), 6% for closed trauma.
- Indications include cardiac arrest after <15 min (penetrating) or <10 min (closed) CPR, or refractory shock (SBP <65 mm Hg).
Conclusions:
- Resuscitation thoracotomy is a justified intervention for selected patients with traumatic cardiac arrest.
- Its effectiveness is higher in penetrating trauma, especially stab wounds.
- The procedure is particularly relevant in mass casualty incidents involving terrorist attacks.
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