Use of Tandem Perimortem Cesarean Section and Open-Chest Cardiac Massage in the Resuscitation of Peripartum Cardiomyopathy Cardiac Arrest

2019 ◽  
Vol 74 (6) ◽  
pp. 772-774 ◽  
Author(s):  
Andrew J. Adan ◽  
Abhinav Nafday ◽  
Alexander B. Beyer ◽  
Mitchell J. Odom ◽  
Nikhil R. Theyyunni ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cesarean Section ◽  
Peripartum Cardiomyopathy ◽  
Cardiac Massage ◽  
Open Chest ◽  
Perimortem Cesarean Section

Limitations of open-chest cardiac massage after prolonged, untreated cardiac arrest in dogs

1991 ◽  
Vol 20 (7) ◽  
pp. 761-767 ◽  
Author(s):  
Karl B Kern ◽  
Arthur B Sanders ◽  
Wolfgang Janas ◽  
James R Nelson ◽  
Stephen F Badylak ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiac Massage ◽  
Open Chest

scholarly journals Head-down tilt position successfully prevent severe brain air embolism

2018 ◽  
Vol 6 ◽  
pp. 2050313X1880926 ◽  
Author(s):  
Gaku Yamaguchi ◽  
Hiroyuki Miura ◽  
Eiji Nakajima ◽  
Norihiko Ikeda
Keyword(s):  
Cardiac Arrest ◽  
Low Temperature ◽  
Brain Damage ◽  
Air Embolism ◽  
Cardiac Massage ◽  
Open Chest ◽  
Successful Recovery ◽  
Life Threatening ◽  
Margin Detection ◽  
Air Embolus

Air embolisms are rare life-threatening complications that develop under various conditions, including surgery. During segmentectomy for thoracic surgery, air is blown into the selected bronchus for segment margin detection. This may result in the formation of an air embolus. Herein, we report a case of successful recovery from sudden intraoperative cardiac arrest due to an air embolism in a patient undergoing left superior division segmentectomy via open thoracotomy. Intraoperatively, the patient was positioned head-down. Upon blowing air into the bronchus, the patient suddenly developed cardiac arrest. Open-chest cardiac massage and low-temperature therapy were commenced and the patient recovered. The head-down position prevents the air embolus from reaching the brain and thus prevents severe brain damage, whereas continuous open-chest massage and low temperature prevents severe body damage from anticipated cardiac air embolism. Thus, operation in the head-down position is useful in preventing severe brain damage from brain air embolisms.

scholarly journals Cardiac arrest during emergency cesarean section for severe pre-eclampsia and peripartum cardiomyopathy

2016 ◽  
Vol 55 (1) ◽  
pp. 125-127
Author(s):  
Meng-Han Chou ◽  
Hsin-Hui Huang ◽  
Yu-Ju Lai ◽  
Kwei-Shuai Hwang ◽  
Yu-Chi Wang ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cesarean Section ◽  
Peripartum Cardiomyopathy ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

Perimortem Cesarean Delivery for Maternal Cardiac Arrest

2017 ◽  
Author(s):  
Benjamin Cobb ◽  
Steven Lipman
Keyword(s):  
Cardiac Arrest ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Fetal Outcome ◽  
Spontaneous Circulation ◽  
Return Of Spontaneous Circulation ◽  
Effective Application ◽  
Integral Component ◽  
Great Vessels ◽  
Perimortem Cesarean Section

In the absence of a return of spontaneous circulation during maternal cardiac arrest, a perimortem cesarean section should be strongly considered as an integral component of maternal resuscitation. Uterine compression of the great vessels in the second–third trimesters may contribute to ineffective resuscitative measures. In addition, in the setting of ongoing maternal compromise, fetal outcome may be optimized by delivery. The rarity of maternal cardiac arrest poses a multitude of challenges in the effective application of a perimortem cesarean delivery. Nevertheless, perimortem cesarean delivery remains an essential rescue maneuver for women with periviable fetuses who do not respond to initial resuscitative maneuvers.

scholarly journals Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Francesca Gatti ◽  
Marco Spagnoli ◽  
Simone Maria Zerbi ◽  
Dario Colombo ◽  
Mario Landriscina ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Surgical Intervention ◽  
Hemodynamic Instability ◽  
Spontaneous Circulation ◽  
Traditional Treatment ◽  
Return Of Spontaneous Circulation ◽  
Traumatic Cardiac Arrest ◽  
Perimortem Cesarean Section

The optimal treatment of a severe hemodynamic instability from shock to cardiac arrest in late term pregnant women is subject to ongoing studies. However, there is an increasing evidence that early “separation” between the mother and the foetus may increase the restoration of the hemodynamic status and, in the cardiac arrest setting, it may raise the likelihood of a return of spontaneous circulation (ROSC) in the mother. This treatment, called Perimortem Cesarean Section (PMCS), is now termed as Resuscitative Hysterotomy (RH) to better address the issue of an early Cesarean section (C-section). This strategy is in contrast with the traditional treatment of cardiac arrest characterized by the maintenance of cardiopulmonary resuscitation (CPR) maneuvers without any emergent surgical intervention. We report the case of a prehospital perimortem delivery by Caesarean (C) section of a foetus at 36 weeks of gestation after the mother’s traumatic cardiac arrest. Despite the negative outcome of the mother, the choice of performing a RH seems to represent up to date the most appropriate intervention to improve the outcome in both mother and foetus.

scholarly journals A New Diagnostic and Therapeutic Approach Fibrinolysis and Hemorrhage

Blood ◽  
1958 ◽  
Vol 13 (9) ◽  
pp. 874-882 ◽  
Author(s):  
J. C. HEUSON ◽  
W. PEERS ◽  
H. J. TAGNON
Keyword(s):  
Cardiac Arrest ◽  
Cesarean Section ◽  
Trypsin Inhibitor ◽  
Therapeutic Approach ◽  
Radioactive Iodine ◽  
The Other ◽  
Cardiac Massage ◽  
Hemorrhagic Diathesis ◽  
Normal Heart ◽  
Method Of Measurement

Abstract 1. The case is presented of a patient who underwent a cesarean section during which cardiac arrest occurred. Cardiac massage was successful in reestablishing normal heart action. 2. A severe hemorrhagic diathesis associated with fibrinolysis appeared during the period of shock associated with cardiac arrest. 3. The plasma of the patient obtained during the period of fibrinolysis was able to digest its own fibrin as well as a substrate of casein marked with radioactive iodine. 4. A new method of measurement of fibrinolysis based on the use of tagged casein is presented: the main advantage of this method is that the substrate is not contaminated with plasminogen or plasmin. In addition the products of the reaction are measured by their radioactivity. Therefore, the blank and readings in this method depend solely upon the substrate and are not contributed to by the other reagents used. 5. The proteolytic activity of the plasma from a patient with fibrinolysis was shown to be inhibited by the trypsin inhibitor from soy bean. 6. The intravenous injection of trypsin inhibitor in this patient was followed by the disappearance of fibrinolysis in her blood.

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