A critical appraisal of emergency resuscitative thoracotomy in a Western European level 1 trauma centre: a 13-year experience

Adami, Ennio Alberto; Poillucci, Gaetano; Di Saverio, Salomone; Khan, Mansoor; Fransvea, Pietro; Podda, Mauro; Rampini, Alessia; Marini, Pierluigi

doi:10.1007/s13304-023-01667-5

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…A skill increasingly applied for several diagnostic questions and also (re-)evaluation after therapeutic interventions is POCUS, both in and outside the hospital [61][62][63]. Several protocols have been developed to apply POCUS systematically in critical trauma patients including TCA, e.g., a modified FATE-, RUSH-, or eFAST protocol [64,65]. Performed systematically, POCUS will detect major reversible causes of TCA, e.g., hypovolemia, tension pneumothorax, or cardiac tamponade, and prompt respective interventions, such as a resuscitative thoracotomy.…”

Section: Cardiac Electrotrauma-induced Arrestmentioning

confidence: 99%

Traumatic Cardiac Arrest—A Narrative Review

Schober,

Giannakopoulos,

Bulte

et al. 2024

JCM

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A paradigm shift in traumatic cardiac arrest (TCA) perception switched the traditional belief of futility of TCA resuscitation to a more optimistic perspective, at least in selected cases. The goal of TCA resuscitation is to rapidly and aggressively treat the common potentially reversible causes of TCA. Advances in diagnostics and therapy in TCA are ongoing; however, they are not always translating into improved outcomes. Further research is needed to improve outcome in this often young and previously healthy patient population.

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Section: Cardiac Electrotrauma-induced Arrestmentioning

confidence: 99%

Traumatic Cardiac Arrest—A Narrative Review

Schober,

Giannakopoulos,

Bulte

et al. 2024

JCM

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“…While ERT can be lifesaving, its effectiveness and survival rates fluctuate, as evidenced by rates ranging from 0% to 56.8%, 2 due to factors such as small study sizes, unclear inclusion criteria, and varied study quality, making comprehensive outcome assessment challenging. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

Emergency resuscitative thoracotomy in severe trauma: Analysis of the nation‐wide registry data in Japan

Okano,

Terayama,

Okamoto

et al. 2024

Acute Medicine & Surgery

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AimEmergency resuscitative thoracotomy is a potentially lifesaving procedure for patients with cardiac pulmonary arrest and profound circulatory failure resulting from a severe injury. However, survival rate post‐emergency resuscitative thoracotomy shows considerable variation, with many studies constrained by limited sample sizes and ambiguous criteria for inclusion. Herein, we assessed the outcomes of emergency resuscitative thoracotomy and identified predictors of futility using Japan Trauma Data Bank data.MethodsData of patients aged ≥18 years between 2004 and 2019 were analyzed. The primary outcome measure was survival at discharge. Descriptive statistics were used to compare the survivor and nonsurvivor groups. A multivariable logistic regression analysis was conducted to identify predictors of survival in patients undergoing emergency resuscitative thoracotomy while adjusting for confounding factors.ResultsAmong patients who underwent emergency resuscitative thoracotomy, 684/5062 (13.5%) survived. Age <65 years (adjusted odds ratio, 1.351; 95% confidence interval, 1.130–1.615; p < 0.001), absence of cardiac pulmonary arrest on emergency department arrival (adjusted odds ratio, 1.694; 95% confidence interval, 1.280–2.243; p < 0.01), Injury Severity Score <16 (adjusted odds ratio, 2.195; 95% confidence interval, 1.611–2.992; p < 0.01), and penetrating injury (adjusted odds ratio, 1.834; 95% confidence interval, 1.384–2.431; p < 0.01) were identified as factors associated with survival at discharge.ConclusionThe survival rate for emergency resuscitative thoracotomy in Japan stands at approximately 13.5%. Factors contributing to survival include younger age, absence of cardiopulmonary arrest at emergency department arrival, lack of severe trauma, and sustaining penetrating injuries.

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A critical appraisal of emergency resuscitative thoracotomy in a Western European level 1 trauma centre: a 13-year experience

Cited by 2 publications

References 35 publications

Traumatic Cardiac Arrest—A Narrative Review

Traumatic Cardiac Arrest—A Narrative Review

Emergency resuscitative thoracotomy in severe trauma: Analysis of the nation‐wide registry data in Japan

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