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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(03): 093-097
DOI: 10.1055/s-0040-1703919
Review Article

Does internal cardiac massage play a role in ROSC after prolonged CPR ? : Our experience in a tertiary care hospital

Manjunath R. Kamath
1   Associate Professors, Department of Anaesthesiology & Critical Care, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
Krishna Prasad P.
2   Associate Professors, Department of Anaesthesiology & Critical Care, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
M. Gopalakrishnan
3   Associate Professor, Department of Cardiothoracic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
Amith Kiran
4   Associate Professor, Department of Cardiothoracic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
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Abstract

Cardiopulmonary resuscitation (CPR) is a life-saving skill involving chest compressions & ventilation to pump oxygenated blood through the vital organs of the body. Among different techniques and devices for chest compression, no single method has been definitively shown to produce the best outcome and hence, direct comparisons between them are not possible. Internal cardiac massage is the manual squeezing of the heart through a surgical incision into the chest cavity, when the chest is already open for cardiac surgery. Unlike the usual cardiac arrest scenarios, internal cardiac massage is employed mostly in cardiothoracic surgical patients and will have more chance for survival and favorable neurologic outcomes across all durations of CPR. We describe two cases of return of spontaneous circulation (ROSC) after prolonged CPR with internal cardiac massage performed in hospital setting.

Keywords

Cardiopulmonary resuscitation (CPR) - in-hospital cardiac arrest (IHCA) - internal cardiac massage - return of spontaneous circulation (ROSC)


Publication History

Article published online:
22 April 2020

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