• Resuscitation · Aug 2001

    Case Reports

    Successful transdiaphragmatic cardiac resuscitation through midline abdominal incision in patient with flail chest.

    • S Suresh Kumar, V Saith, R Chawla, A Kumar Sethi, and A Bhattacharya.
    • Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
    • Resuscitation. 2001 Aug 1;50(2):239-41.

    AbstractThis case report describes a transdiaphragmatic approach through an already present vertical midline abdominal incision for performing internal cardiac compressions in a 30-year-old male road accident victim. The patient had a flail chest with haemopneumothorax and haemoperitoneum. Exploratory laparotomy followed by splenectomy was performed under general anaesthesia but the patient developed a witnessed cardiac arrest in postoperative period. Successful resuscitation using internal cardiac compression by a transdiaphragmatic approach through the midline abdominal incision that was not extended proximally is described.

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