Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 26 , ISSUE 1 ( January, 2022 ) > List of Articles

CASE REPORT

Unilateral Pulmonary Contusion after Cardiopulmonary Resuscitation Complicated by Delayed Obstructive Atelectasis: A Case Report and Review of the Literature

Pongpat Klumusuk, Pattarin Pirompanich

Keywords : Bronchoscopy, Cardiopulmonary resuscitation, Obstructive atelectasis, Unilateral pulmonary contusion

Citation Information : Klumusuk P, Pirompanich P. Unilateral Pulmonary Contusion after Cardiopulmonary Resuscitation Complicated by Delayed Obstructive Atelectasis: A Case Report and Review of the Literature. Indian J Crit Care Med 2022; 26 (1):133-135.

DOI: 10.5005/jp-journals-10071-24082

License: CC BY-NC 4.0

Published Online: 17-01-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

We present a previously healthy 57-year-old man who had a sudden cardiac arrest intraoperatively and developed unilateral pulmonary contusion shortly after cardiopulmonary resuscitation. He was gradually improved by supportive management. But, several days later he had worsening of respiratory symptoms and obstructive atelectasis was proven by bronchoscope finding of thick mucus plugging left main bronchus. These are rarely recognized but important post-resuscitation complications. Early detection is crucial to improve outcome.


HTML PDF Share
  1. Rendeki S, Molnar TF. Pulmonary contusion. J Thorac Dis 2019;11 (Suppl. 2):S141–S151. DOI: 10.21037/jtd.2018.11.53.
  2. Kaldırım U, Toygar M, Karbeyaz K, Arzıman I, Tuncer SK, Eyi YE, et al. Complications of cardiopulmonary resuscitation in non-traumatic cases and factors affecting complications. Egypt J Forensic Sci 2016;6(3):270–274. DOI: 10.1016/j.ejfs.2015.07.005.
  3. Sattler S, Maier RV. Pulmonary contusion. In: Karmy-Jones R, Nathens A, Stern EJ, editors. Thoracic trauma and critical care. Boston, MA: Springer US; 2002. p. 235–245. DOI: 10.1007/978-1-4615-1127-4.
  4. Lai CC, Wang CY, Lin HI, Wang JY. Pulmonary contusion associated with chest compressions. Resuscitation 2010;81(1):133. DOI: 10.1016/j.resuscitation.2009.10.001.
  5. Hellevuo H, Sainio M, Nevalainen R, Huhtala H, Olkkola KT, Tenhunen J, et al. Deeper chest compression–more complications for cardiac arrest patients? Resuscitation 2013;84(6):760–765. DOI: 10.1016/j.resuscitation.2013.02.015.
  6. Ganie F, Lone H, Lone GN, Wani ML, Singh S, Dar A, et al. Lung contusion: a clinico-pathological entity with unpredictable clinical course. Bull Emerg Trauma 2013;1(1):7–16. PMID: 27162815; PMCID: PMC4771236.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.