[Resuscitative transverse thoracotomy]. / Thoracotomie transverse de réanimation.
Ann Chir
; 128(10): 728-33, 2003 Dec.
Article
em Fr
| MEDLINE
| ID: mdl-14706888
ABSTRACT
The technique of resuscitative transverse thoracotomy is for use in case of circulatory arrest in the trauma patient. This technique, performed after orotracheal intubation, is initiated by a 5th intercostal space thoracostomy in each mid-axillary line. If the circulatory arrest is not caused by a tension pneumothorax, bilateral thoracotomies in the 5th intercostal spaces with transverse transsection of the sternum is performed. Middle vertical incision of the pericardium allows the evacuation of a cardiac tamponade. This wide surgical access has proved simple to perform, even by non experienced operators. It allows digital control of a heart wound, cross-clamping of the thoracic descending aorta or of pulmonary hilum, rapid perfusion of warm fluids through the right auricle and the performance of bimanual internal cardiac massage.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos Torácicos
/
Toracotomia
/
Parada Cardíaca
/
Massagem Cardíaca
Limite:
Humans
Idioma:
Fr
Revista:
Ann Chir
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
França