Professional paper

Emergency department sternotomy - report of a case with indications and technique overview

Antoine Counil orcid.org/0000-0002-1644-9078 ; School of Medicine, Claude Bernard University Lyon, France
Jakov Mihanović orcid.org/0000-0001-6450-2956 ; General hospital Zadar, Department of surgery; University of Zadar, Croatia, Department of health studies
Emilio Dijan orcid.org/0000-0003-2052-1690 ; General hospital Zadar, Department of surgery
Laurine Paquier ; School of Medicine, Claude Bernard University Lyon, France
Ivan Bačić ; General hospital Zadar, Department of surgery; University of Zadar, Croatia, Department of health studies

Abstract

The Emergency Department thoracotomy and Emergency Department sternotomy are solutions of the last resort for traumatic cardiorespiratory arrest. Time is the most important factor in terms of survival and sparing potential neurological damage, therefore surgery should not be delayed as it can be done in an emergency room, intensive care unit or in the operating room. We will present a case of a 45-year-old man with a knife stab in his chest and cardiorespiratory arrest during transport in ambulance. Upon arrival at the Emergency Department, sternotomy was performed followed by decompressive pericardiotomy and cardiorrhaphy with successful and uneventful recovery. We will discuss the indications, necessary equipment and surgical technique.

Keywords

thoracotomy; sternotomy; emergency departments; thoracic injuries; resuscitation

Hrčak ID:

234994

URI

https://hrcak.srce.hr/234994

Publication date:

11.3.2020.

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