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Atrial Cannulation During Resuscitative Clamshell Thoracotomy
Grant Willis1, Jordan N Robinson1, John M Green1
1Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
The American Surgeon
|May 16, 2022
Summary
Atrial cannulation during clamshell thoracotomy offers a reliable method for vascular access in traumatic arrest patients. This technique improved return of spontaneous circulation rates compared to historical data.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Cardiovascular Surgery
Background:
- Resuscitative thoracotomy and clamshell thoracotomy are critical interventions for traumatic arrest.
- Historically, outcomes for penetrating traumatic arrest, including return of spontaneous circulation (ROSC) and survival, have been poor.
- Establishing vascular access in these critically ill patients presents significant challenges.
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