Severe ventilatory compromise due to gastric distention during pediatric cardiopulmonary resuscitation

Marc D. Berg, Ahamed H. Idris, Robert A. Berg

Research output: Contribution to journalArticle

48 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)71-73
Number of pages3
JournalResuscitation
Volume36
Issue number1
DOIs
StatePublished - Jan 1998

Fingerprint

Cardiopulmonary Resuscitation
Stomach
Pediatrics
Capnography
Lung Compliance
Lower Esophageal Sphincter
Insufflation
Positive-Pressure Respiration
Decompression
Heart Arrest
Ventilation
Gases

Keywords

  • Cardiopulmonary resuscitation
  • Child
  • End-tidal carbon dioxide
  • Gastric distention
  • Pediatrics
  • Ventilation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Nursing(all)

Cite this

Severe ventilatory compromise due to gastric distention during pediatric cardiopulmonary resuscitation. / Berg, Marc D.; Idris, Ahamed H.; Berg, Robert A.

In: Resuscitation, Vol. 36, No. 1, 01.1998, p. 71-73.

Research output: Contribution to journalArticle

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