This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sewell, R. D.
Right arrow Articles by Steinberg, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sewell, R. D.
Right arrow Articles by Steinberg, M. A.
Related Collections
Right arrow Musculoskeletal System

PEDIATRICS Vol. 106 No. 5 November 2000, p. e71

ELECTRONIC ARTICLE:
Chest Compressions in an Infant With Osteogenesis Imperfecta Type II: No New Rib Fractures

Received Feb 29, 2000; accepted Jun 20, 2000.

Robert D. Sewell* and Mary A. SteinbergDagger , §

From the * Good Shepherd Medical Group, Hermiston, Oregon; Dagger  Department of Pediatrics, Oregon Health Sciences University, Portland, Oregon; and § CARES Northwest, Portland, Oregon.

The case report of a newborn female with osteogenesis imperfecta type II who underwent cardiopulmonary resuscitation (CPR) with manual chest compressions for several minutes is presented. Chest radiographs taken before and after the chest compressions were administered were reviewed by several radiologists from 3 different hospitals and demonstrated no new radiographically visible rib fractures. Collagen analysis, the patient's clinical appearance, and clinical course, as well as a consultant's opinion aided in confirmation of the diagnosis of osteogenesis imperfecta type II. A review of 4 previous studies concerning rib fractures and CPR is included. This unique case supports previous articles that have concluded that rib fractures rarely, if ever, result from CPR in pediatrics, even in children with a lethal underlying bone disease, such as osteogenesis imperfecta type II. cardiopulmonary resuscitation, chest compressions, osteogenesis imperfecta, rib fractures, bone disease.

.