Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Puchwein, P; Sommerauer, F; Clement, HG; Matzi, V; Tesch, NP; Hallmann, B; Harris, T; Rigaud, M.
Clamshell thoracotomy and open heart massage--A potential life-saving procedure can be taught to emergency physicians: An educational cadaveric pilot study.
Injury. 2015; 46(9):1738-1742
Doi: 10.1016/j.injury.2015.05.045
Web of Science
PubMed
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FullText_MUG
- Leading authors Med Uni Graz
- Puchwein Paul
- Co-authors Med Uni Graz
- Clement Hans Gunther
- Hallmann Barbara
- Matzi Veronika
- Rigaud Marcel
- Tesch Norbert
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- Abstract:
- Selected patients in traumatic cardiac arrest may benefit from pre-hospital thoracotomy. Pre-hospital care physicians rarely have surgical training and the procedure is rarely performed in most European systems. Limited data exists to inform teaching and training for this procedure. We set out to run a pilot study to determine the time required to perform a thoracotomy and the a priori defined complication rate. We adapted an existing system operating procedure requiring four instruments (Plaster-of-Paris shears, dressing scissors, non-toothed forceps, scalpel) for this study. We identified a convenience sample of surgically trained and non-surgically trained participants. All received a training package including a lecture, practical demonstration and cadaver experience. Time to perform the procedure, anatomical accuracy and a priori complication rates were assessed. The mean total time for the clamshell thoracotomy from thoracic incision to delivery of the heart was 167 s (02:47 min:sec). There was no statistical difference in the time to complete the procedure or complication rate among surgeons, non-surgeons and students. The complication rate dropped from 36% in the first attempt to 7% in the second attempt but this was not statistically significant. This is a pilot study and small numbers of participants arguably saw it underpowered to define differences between study groups. Clamshell thoracotomy can be taught using cadaver models. In this simulated environment, the procedure may be performed rapidly with minimum equipment. Copyright © 2015 Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Cadaver -
- Cardiac Tamponade - therapy
- Emergency Medical Services - methods
- Emergency Medicine - education
- Female -
- Heart Arrest - therapy
- Heart Massage - methods
- Humans -
- Internship and Residency -
- Male -
- Operative Time -
- Pilot Projects -
- Resuscitation - education
- Resuscitation - methods
- Thoracotomy - education
- Thoracotomy - methods
- Find related publications in this database (Keywords)
- Clamshell thoracotomy
- Resuscitative thoracotomy
- Emergency thoracotomy