Rapid right atrial cannulation for fluid infusion during resuscitative emergency department thoracotomy
Renz, B.M.; Stout, M.J.
American Surgeon 60(12): 946-949
1994
ISSN/ISBN: 0003-1348 PMID: 7992971 Document Number: 426961
A simple rapid technique for cannulating the right atrium during a resuscitative Emergency Department thoracotomy (EDT) for exsanguinating trauma is described. Following the thoracotomy and pericardiotomy, an ordinary Foley urinary bladder balloon catheter is inserted into the right atrial appendage for rapid, large volume normothermic blood and fluid infusion. A method for simplifying this maneuver, as well as the potential complications of over-resuscitation with myocardial distention and fluid overload, myocardial cooling, air embolism, and tricuspid valve occlusion are discussed. We recognize that this technique is radical and applicable to only a limited subset of severely injured patients, for example, victims of non-cardiac penetrating trauma who arrive at the hospital moribund or who arrest in the emergency center.