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Article
April 24, 1967

Successful Open Cardiac Massage After 75 Minutes of Closed Massage

Author Affiliations

From the departments of general surgery and internal medicine, Mount Sinai Hospital of Greater Miami, Inc., Miami Beach, Fla.

JAMA. 1967;200(4):333-335. doi:10.1001/jama.1967.03120170105028
Abstract

THIS EXPERIENCE is recorded to refute the belief that 30 to 40 minutes of closed-chest massage is an adequate trial.1,2 It also refutes the belief that fixed dilated pupils and loss of spontaneous respirations are evidence of irreversible brain damage.

Report of a Case  A 32-year-old white man was treated for ulcerative colitis for 11 years with steroids, sulfonamides, and anticholinergics. Because of multiple, draining perianal fistulae, recurrent rectal hemorrhages, and progressively debilitating fever, a total colectomy was advised.Prior to surgery, the heart, the lungs, and even the abdomen were unremarkable upon examination. A preoperative anemia was corrected by the transfusing of 7 pt of whole blood in six days.An abdominoperineal total colectomy with ileostomy required six hours and 8 pt of blood, but was otherwise uneventful. Four hours after surgery, brisk perineal bleeding dropped the blood pressure to 80/65 mm Hg before a perineal bleeder was

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