Gastric rupture after cardiopulmonary resuscitation in a burn patient.

J Burn Care Res 2006 Sep-Oct;27(5):757-9

Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153, USA.

Burn injury, especially severe facial burn injury, poses a unique challenge for emergency health care personnel in administering cardiopulmonary resuscitation. Because of the perioral and oral edema with severe facial burns, intubation may be difficult, and bag-valve mask or mouth-to-mouth resuscitation may be prolonged. As a result of the difficulty in establishing a patent airway, various complications can arise. One of these includes gastric perforation which, although rare in the setting of difficult intubation or prolonged oral ventilation, may be possible. To our knowledge, acute gastric perforation after prolonged cardiopulmonary resuscitation in burn injured patients has not previously been reported thus the incidence is unknown. We report here a case of gastric perforation after a difficult tracheal intubation in a patient with extensive burns of the head and neck and 63% TBSA burn.

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http://dx.doi.org/10.1097/01.BCR.0000238093.33660.B7DOI Listing
January 2007
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References

(Supplied by CrossRef)

Schein et al.
Gastrointest Endosc 1985

Halpern et al.
Br J Anaesth 1986

Cameron et al.
Med J Aust 1991

Demos et al.
Surgery 1964

Darke et al.
Br Med J 1975

Linch et al.
Intensive Care Med 1979

Adler et al.
Ann Emerg Med 1983

Eichenhorn et al.
Chest 1979

Mills et al.
Ann Emerg Med 1983

Lelcuk et al.
Isr J Med Sci 1990

Evans et al.
Br J Surg 1968

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