PMID: 9547847Apr 21, 1998Paper

Severe ventilatory compromise due to gastric distention during pediatric cardiopulmonary resuscitation

Resuscitation
M D BergR A Berg

Abstract

We describe a child in cardiac arrest with severe ventilatory compromise due to gastric distention. During cardiopulmonary resuscitation (CPR), positive pressure ventilation may lead to gastric insufflation because of decreased pulmonary compliance and decreased lower esophageal sphincter tone. Essentially, gas delivered will follow the path of least resistance, which may be to the stomach. In our patient, gastric distention precluded effective ventilation and gastric decompression relieved ventilatory compromise. The values and pitfalls of clinical evaluation and capnography are presented.

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Citations

Oct 29, 2008·Resuscitation·Peter PaalVolker Wenzel
Jun 15, 2007·Paediatric Anaesthesia·George H Meakin
Jun 15, 2007·Paediatric Anaesthesia·Britta S Von Ungern-SternbergUNKNOWN SWISS PEDIATRIC RESPIRATORY RESEARCH GROUP
Dec 21, 2010·Resuscitation·Patrick BraunPeter Paal
Sep 17, 2011·Revista brasileira de anestesiologia·Luiz Fernando dos Reis FalcãoJosé Luiz Gomes do Amaral
Oct 17, 2008·Gastrointestinal Endoscopy Clinics of North America·Allan P Reed
Oct 7, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matthew R NethJason McMullan
Nov 16, 2019·Resuscitation·Dominique SavaryUNKNOWN CAVIAR group

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