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Case Reports
. 2011 Feb;29(2):148-51.
doi: 10.1007/s11604-010-0511-4. Epub 2011 Feb 27.

Intravascular gas in multiple organs detected by postmortem computed tomography: effect of prolonged cardiopulmonary resuscitation on organ damage in patients with cardiopulmonary arrest

Takahiro Zenda  1 , Teruhiko Takayama, Masaji Miyamoto, Shizuko Yamaguchi, Tamao Endo, Hideo Inaba
Affiliations
Case Reports

Intravascular gas in multiple organs detected by postmortem computed tomography: effect of prolonged cardiopulmonary resuscitation on organ damage in patients with cardiopulmonary arrest

Takahiro Zenda et al. Jpn J Radiol. 2011 Feb.

Abstract

A 76-year-old woman was found in cardiopulmonary arrest with her head submerged in water in a bathtub. Despite cardiopulmonary resuscitation (CPR) for over 1 h by professional emergency technicians and medical doctors, the patient died. Postmortem computed tomography revealed not only pulmonary edema associated with drowning but also the presence of intravascular gas in the pulmonary artery, liver, kidneys, heart (right ventricle), and brain. It was speculated that intravascular gas was generated and spread to multiple organs during CPR procedures via the alimentary tract and lungs, which had been damaged by ischemia after cardiopulmonary arrest. Prolonged CPR procedures may involve the risk of additional organ damage and systemic air emboli.

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