PMC4806817_01
LUCAS during resuscitation. Jugular venous distension during circulatory shock of the intubated and mechanically ventilated patient.
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In view of the hemodynamically unstable situation, with a probable transport time to the nearest hospital of approximately 20 min for the patient and inevitable physical exhaustion during administration of cardiac massage (with the two-helper method), the Lund University Cardiac Arrest System (LUCAS; Jolife, Lund, Sweden) was used for further standardized chest compressions, adjusted in accordance with the situation and the patient (frequency 80/min, located at the central sternum, compression depth 10 cm; Figure 1).
Coronary angiography: a) left coronary artery (LCD), left diagonal artery (LAD), and b) right coronary artery (RCA) without signs of relevant stenosis.
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Subsequent coronary angiography in this patient showed limited left-ventricular function with anterolateral cardiac hypokinesia, with no evidence of high-grade stenoses in the area of the coronary vessels (Figures 2a, 2b).