Open AccessPneumoperitoneum after Cardiopulmonary Resuscitation: The Roles of Bystander‐Provided BLS and Laryngeal Mask Airway
Author(s) -
Tsai CWC,
Lin HJ,
Chen KT
Publication year - 2015
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791502200209
Subject(s) - medicine , cardiopulmonary resuscitation , pneumoperitoneum , airway , resuscitation , anesthesia , ventilation (architecture) , perforation , laryngeal mask airway , larynx , gastric distension , surgery , stomach , laparoscopy , mechanical engineering , materials science , engineering , punching , metallurgy
We present a case of post‐resuscitative pneumoperitoneum following bystander cardiopulmonary resuscitation and artificial ventilation via a laryngeal mask airway. Artificial ventilation can result in gastric distention and contribute to subsequent gastric perforation. Among the various approaches to ventilating patients in respiratory failure, mouth‐to‐mouth and bag‐valve‐mask are much more likely to cause gastric inflation than ventilating with a laryngeal mask airway. Abdominal distention, haematemesis, and bloody gastric aspiration are common manifestations of post‐resuscitative gastric perforation in which pneumoperitoneum is discovered in the majority of these patients by a roentgenogram of the chest after successful resuscitation. (Hong Kong j.emerg.med. 2015;22:126‐129)