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CARDIAC ARREST IN INFANTS AND CHILDREN: Report of Sixty-Six Original Cases

CARDIAC ARREST IN INFANTS AND CHILDREN: Report of Sixty-Six Original Cases Abstract THE SUDDEN unexpected death of a child in the operating room occurs so infrequently in the experience of any one general surgeon that he may fail to give this problem the attention which it deserves. However, if any active surgeon will go back over the years and collect instances of this catastrophe just within the operating rooms in which he has worked, he will be amazed at the frequency of the occurrence. Then, if he has one patient who recovers successfully by the use of cardiac massage and appropriate resuscitative measures, he regrets that the method has not been used throughout his career and thus is eager to see it put into practice in all operating rooms and by all surgeons. This is the purpose of this presentation. MATERIAL This study covers a 23-year period and records 66 cases of sudden arrest of the heart in children, occurring in the References 1. Kountz, W. B.: Revival of Human Hearts , Ann. Int. Med. 10:330, 1936.Crossref 2. Ruhräh, J.: Felix Platter 1536-1614 , Am. J. Dis. Child. 36:1037, 1928. 3. Kennedy, R. L. J., and New, G. B.: Emergencies Associated with Thymus , M. Clin. North America 29:860, 1945. 4. Starling, E. A., and Lane, W. A.: Report of Society of Anesthetists , Lancet 2:1397, 1902. 5. Cole, F.: Cardiac Massage in the Treatment of Arrest of the Heart, Study of 350 Cases, with 2 Original Case Reports , A. M. A. Arch. Surg. 64:175, 1952.Crossref 6. Blalock, A.: Surgical Procedures Employed and Anatomical Variations Encountered in the Treatment of Congenital Pulmonic Stenosis (Rudolph Matas Lecture) , Surg., Gynec. & Obst. 87:385, 1948. 7. (a) Ziegler, R. F.: The Cardiac Mechanism During Anesthesia and Operation in Patients with Congenital Heart Disease and Cyanosis , Bull. Johns Hopkins Hosp. 83:237, 1948. 8. (b) Cooley, D. A.: Cardiac Resuscitation During Operations for Pulmonic Stenosis , Ann. Surg. 132:930, 1950. 9. Dinsmore, R. S., in discussion on Johnson and Kirby. 10. Adriani, J.; Martin, S. J., and Rovenstine, E. A.: Chromodacryorrhea and Parasympathetic Action of Cyclopropane , Proc. Soc. Exper. Biol. 45:758, 1940. 11. Sands, J., and DeGraff, A. C.: The Effects of Progressive Anoxemia on Heart and Circulation , Am. J. Physiol. 74:416, 1925. 12. Sloan, H. E.: The Vagus Nerve in Cardiac Arrest , Surg., Gynec. & Obst. 91:257, 1950. 13. Young, W. G., Jr.; Sealy, W. C.; Harris, J. S., and Botwin, A.: The Effects of Hypercapnia and Hypoxia on the Response of the Heart to Vagal Stimulation , Surg., Gynec. & Obst. 93:51, 1951. 14. (a) Beecher, H. K., and Murphy, A. J.: Acidosis During Thoracic Surgery , J. Thoracic Surg. 19:50, 1950. 15. (b) Kergin, F. G.; Bean, D. M., and Paul, W.: Anoxia During Intrathoracic Operations: A Preliminary Report , J. Thoracic Surg. 17:709, 1948. 16. (c) McClure, R. D.; Behrmann, V. G., and Hartman, F. W.: The Control of Anoxemia During Surgical Anesthesia with the Aid of the Oxyhemograph , Ann. Surg. 128:685, 1948. 17. Brodie, T. G., and Russell, A. E.: On Reflex Cardiac Inhibition , J. Physiol. 26:92, 1900. 18. Rothberger, C. J., and Winterberg, H.: Über die experimentelle Erzeugung extrasystolischer ventrikulärer Tachykardie durch Acceleransreizung: Ein Beitrag zur Herzwirkung von Baryum und Calcium , Arch. ges Physiol. 142:461, 1911. 19. Callaghan, J. C., and Bigelow, W. G.: An Electrical Artificial Pacemaker for Standstill of the Heart , Ann. Surg. 134:8, 1951. 20. Deming, M. Van N.: Agents and Technics for Induction of Anesthesia in Infants and Young Children , Current Res. in Anesth. & Analg. 31:113, 1952. 21. Stephen, C. R.: Technics in Pediatric Anesthesia , Anesthesia 13:77, 1952. 22. Negovski, V. A.: Agonal States and Clinical Death: Problems in Revival of Organisms; the Electrocardiogram During Death and Revival , Am. Rev. Soviet Med. 2:491, 1945. 23. The amplifying stethoscope is manufactured by the Electronic Stethoscope Corporation, Evanston, Ill. 24. Weinberger, L. M.; Gibbon, M. H., and Gibbon, J. H., Jr.: Temporary Arrest of the Circulation to the Central Nervous System: Physiologic Effects , Arch. Neurol. & Psychiat. 43:615, 1940. 25. Johnson, J., and Kirby, C. K.: Cardiac Resuscitation , S. Clin. North America 29:1745, 1949. 26. Beck, C. S.; Pritchard, W. H., and Feil, H. S.: Ventricular Fibrillation of Long Duration Abolished by Electric Shock , J. A. M. A. 135:985, 1947. 27. Johnson, J., and Kirby, C. K.: The Surgical Treatment of Ventricular Fibrillation , Ann. Surg. 134:672, 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

CARDIAC ARREST IN INFANTS AND CHILDREN: Report of Sixty-Six Original Cases

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References (29)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1953.01260030734003
Publisher site
See Article on Publisher Site

Abstract

Abstract THE SUDDEN unexpected death of a child in the operating room occurs so infrequently in the experience of any one general surgeon that he may fail to give this problem the attention which it deserves. However, if any active surgeon will go back over the years and collect instances of this catastrophe just within the operating rooms in which he has worked, he will be amazed at the frequency of the occurrence. Then, if he has one patient who recovers successfully by the use of cardiac massage and appropriate resuscitative measures, he regrets that the method has not been used throughout his career and thus is eager to see it put into practice in all operating rooms and by all surgeons. This is the purpose of this presentation. MATERIAL This study covers a 23-year period and records 66 cases of sudden arrest of the heart in children, occurring in the References 1. Kountz, W. B.: Revival of Human Hearts , Ann. Int. Med. 10:330, 1936.Crossref 2. Ruhräh, J.: Felix Platter 1536-1614 , Am. J. Dis. Child. 36:1037, 1928. 3. Kennedy, R. L. J., and New, G. B.: Emergencies Associated with Thymus , M. Clin. North America 29:860, 1945. 4. Starling, E. A., and Lane, W. A.: Report of Society of Anesthetists , Lancet 2:1397, 1902. 5. Cole, F.: Cardiac Massage in the Treatment of Arrest of the Heart, Study of 350 Cases, with 2 Original Case Reports , A. M. A. Arch. Surg. 64:175, 1952.Crossref 6. Blalock, A.: Surgical Procedures Employed and Anatomical Variations Encountered in the Treatment of Congenital Pulmonic Stenosis (Rudolph Matas Lecture) , Surg., Gynec. & Obst. 87:385, 1948. 7. (a) Ziegler, R. F.: The Cardiac Mechanism During Anesthesia and Operation in Patients with Congenital Heart Disease and Cyanosis , Bull. Johns Hopkins Hosp. 83:237, 1948. 8. (b) Cooley, D. A.: Cardiac Resuscitation During Operations for Pulmonic Stenosis , Ann. Surg. 132:930, 1950. 9. Dinsmore, R. S., in discussion on Johnson and Kirby. 10. Adriani, J.; Martin, S. J., and Rovenstine, E. A.: Chromodacryorrhea and Parasympathetic Action of Cyclopropane , Proc. Soc. Exper. Biol. 45:758, 1940. 11. Sands, J., and DeGraff, A. C.: The Effects of Progressive Anoxemia on Heart and Circulation , Am. J. Physiol. 74:416, 1925. 12. Sloan, H. E.: The Vagus Nerve in Cardiac Arrest , Surg., Gynec. & Obst. 91:257, 1950. 13. Young, W. G., Jr.; Sealy, W. C.; Harris, J. S., and Botwin, A.: The Effects of Hypercapnia and Hypoxia on the Response of the Heart to Vagal Stimulation , Surg., Gynec. & Obst. 93:51, 1951. 14. (a) Beecher, H. K., and Murphy, A. J.: Acidosis During Thoracic Surgery , J. Thoracic Surg. 19:50, 1950. 15. (b) Kergin, F. G.; Bean, D. M., and Paul, W.: Anoxia During Intrathoracic Operations: A Preliminary Report , J. Thoracic Surg. 17:709, 1948. 16. (c) McClure, R. D.; Behrmann, V. G., and Hartman, F. W.: The Control of Anoxemia During Surgical Anesthesia with the Aid of the Oxyhemograph , Ann. Surg. 128:685, 1948. 17. Brodie, T. G., and Russell, A. E.: On Reflex Cardiac Inhibition , J. Physiol. 26:92, 1900. 18. Rothberger, C. J., and Winterberg, H.: Über die experimentelle Erzeugung extrasystolischer ventrikulärer Tachykardie durch Acceleransreizung: Ein Beitrag zur Herzwirkung von Baryum und Calcium , Arch. ges Physiol. 142:461, 1911. 19. Callaghan, J. C., and Bigelow, W. G.: An Electrical Artificial Pacemaker for Standstill of the Heart , Ann. Surg. 134:8, 1951. 20. Deming, M. Van N.: Agents and Technics for Induction of Anesthesia in Infants and Young Children , Current Res. in Anesth. & Analg. 31:113, 1952. 21. Stephen, C. R.: Technics in Pediatric Anesthesia , Anesthesia 13:77, 1952. 22. Negovski, V. A.: Agonal States and Clinical Death: Problems in Revival of Organisms; the Electrocardiogram During Death and Revival , Am. Rev. Soviet Med. 2:491, 1945. 23. The amplifying stethoscope is manufactured by the Electronic Stethoscope Corporation, Evanston, Ill. 24. Weinberger, L. M.; Gibbon, M. H., and Gibbon, J. H., Jr.: Temporary Arrest of the Circulation to the Central Nervous System: Physiologic Effects , Arch. Neurol. & Psychiat. 43:615, 1940. 25. Johnson, J., and Kirby, C. K.: Cardiac Resuscitation , S. Clin. North America 29:1745, 1949. 26. Beck, C. S.; Pritchard, W. H., and Feil, H. S.: Ventricular Fibrillation of Long Duration Abolished by Electric Shock , J. A. M. A. 135:985, 1947. 27. Johnson, J., and Kirby, C. K.: The Surgical Treatment of Ventricular Fibrillation , Ann. Surg. 134:672, 1951.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jun 1, 1953

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