scholarly journals Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest

2020 ◽  
Vol 4 (2) ◽  
pp. 249-261
Author(s):  
Madona Utami Dewi ◽  
Syahredi Syaiful Adnani ◽  
Emilzon Taslim
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Tension Pneumothorax ◽  
Pregnant Patient ◽  
Volume Resuscitation ◽  
Consciousness Level ◽  
Perimortem Cesarean Section ◽  
Acute Event ◽  
In Pregnancy

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

scholarly journals Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest

2020 ◽  
Vol 4 (2) ◽  
pp. 218-230
Author(s):  
Madona Utami Dewi ◽  
Syahredi Syaiful Adnani ◽  
Emilzon Taslim
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Cesarean Section ◽  
Tension Pneumothorax ◽  
Pregnant Patient ◽  
Volume Resuscitation ◽  
Consciousness Level ◽  
Perimortem Cesarean Section ◽  
Acute Event ◽  
In Pregnancy

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation

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 Competences In Cardiopulmonary Resuscitation Matters In Pregnancy

2020 ◽  
Vol 5 (5) ◽  
pp. 1-7
Author(s):  
Ana Álvarez Bartolomé ◽  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Pregnant Women ◽  
Emergency Care ◽  
Hospital Emergency ◽  
Level Of Knowledge ◽  
The Creation ◽  
In Pregnancy

To analyse the level of knowledge of out-of-hospital emergency care personnel on the management of Cardiac Arrest (CA) in pregnant women, to determine whether there are deficiencies in training and to assess the creation of a course on cardiopulmonary resuscitation in pregnant women for non-obstetric personnel.

scholarly journals Out-of-Hospital Cardiac Arrest Response to a Pregnant Woman by the 119 Emergency Medical Service System: A Case Study

2020 ◽  
Vol 34 (1) ◽  
pp. 127-134
Author(s):  
Jae-Min Lee ◽  
Soo-Mi Hong ◽  
Guk-Ki An ◽  
Hyeong-Wan Yun
Keyword(s):  
Cardiac Arrest ◽  
Pregnant Woman ◽  
Cardiopulmonary Resuscitation ◽  
Life Support ◽  
Pregnant Patient ◽  
Advanced Cardiac Life Support ◽  
Spontaneous Circulation ◽  
Emergency Medical Service System ◽  
Rescue Workers ◽  
System A

When a pregnant woman experiences cardiac arrest, resuscitation is of the utmost importance. Cardiac arrest in pregnant women differs from cardiac arrest in the general population since both mother and fetus need to be taken into consideration. In the event of cardiac arrest, determining whether to deliver the baby is significant. Cardiopulmonary resuscitation is not always successful, and the survival rate depends on the speed and precision of the procedure. In this study, we focus on the case of a 30-year-old pregnant woman who experienced cardiac arrest and whose family was quick to perceive her condition and call the hospital. A witness performed initial cardiopulmonary resuscitation, while rescue workers performed the advanced procedure. In this case, the patient and baby received proper treatment and left the hospital after six days. It is extremely rare for a pregnant patient to achieve return of spontaneous circulation (ROSC) or receive advanced cardiac life support before reaching the hospital. However, the woman in question in this study achieved ROSC and received both cardiopulmonary resuscitation before reaching the hospital and advanced cardiac life support at the hospital. The specifics of the case are reported in the context of a literature review.

scholarly journals Cardiac arrest in pregnancy and perimortem cesarean delivery: case report and discussion

CJEM ◽  
2011 ◽  
Vol 13 (06) ◽  
pp. 399-403 ◽  
Author(s):  
Paul T. Engels ◽  
Sheila C. Caddy ◽  
Gulnaz Jiwa ◽  
J. Douglas Matheson
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Cesarean Delivery ◽  
Vena Cava ◽  
Pregnant Patient ◽  
Gravid Uterus ◽  
Severe Hypoxemia ◽  
Successful Resuscitation ◽  
Emergency Department Setting ◽  
In Pregnancy

ABSTRACT Cardiac arrest in pregnancy is a rare occurrence, particularly in the emergency department setting. The resuscitation of a pregnant patient in cardiac arrest is unique in a number of ways. Early identification and treatment of possible etiologies, appropriate response to the physiologic changes present in pregnancy, relief of potential vena cava obstruction by the gravid uterus, and expeditious preparation for possible cesarean delivery are important considerations for a successful resuscitation. We report and discuss the case of a pregnant patient with pulmonary edema and cardiac dysfunction who presented with severe hypoxemia and subsequent cardiac arrest and underwent a perimortem cesarean delivery and simultaneous fetal and maternal resuscitation in the emergency department.

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 Successful Resuscitation of Maternal Cardiac Arrest by Perimortem Cesarean Section (PCS) : a Case Report

2014 ◽  
Vol 34 (1) ◽  
pp. 090-094 ◽  
Author(s):  
Yukako OURA ◽  
Motoshi TANAKA ◽  
Masahiro SHIMIZU ◽  
Hideki TAKEI ◽  
Katsuo TERUI ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Cesarean Section ◽  
Successful Resuscitation ◽  
Perimortem Cesarean Section

Point-of-care pleural and lung ultrasound in a newborn suffering from cardiac arrest due to tension pneumothorax after cardiac surgery

2015 ◽  
Vol 26 (2) ◽  
pp. 400-402 ◽  
Author(s):  
Angelo Polito ◽  
Daniele G. Biasucci ◽  
Paola Cogo
Keyword(s):  
Cardiac Arrest ◽  
Cardiac Surgery ◽  
Cardiopulmonary Resuscitation ◽  
Lung Ultrasound ◽  
Point Of Care ◽  
Tension Pneumothorax ◽  
Coarctation Of The Aorta ◽  
Electric Activity ◽  
Point Of Care Ultrasound ◽  
Chest Compressions

AbstractWe report the case of a 12-day-old newborn affected by coarctation of the aorta and intraventricular defect who underwent coarctectomy and pulmonary artery banding. On post-operative day 7, the patient suffered from pulseless electric activity due to tension pneumothorax. Point-of-care ultrasound was performed during cardiopulmonary resuscitation in an attempt to diagnose pneumothorax. The diagnosis was made without delaying or interrupting chest compressions, and the pneumothorax was promptly treated.

Cardiac arrest

2019 ◽  
pp. 185-192
Author(s):  
Gajen Sunthar Kanaganayagam ◽  
Andrew Constantine ◽  
Susanna Price
Keyword(s):  
Cardiac Arrest ◽  
Coronary Artery ◽  
Cardiopulmonary Resuscitation ◽  
Pulmonary Embolus ◽  
Cardiac Rhythm ◽  
Life Support ◽  
Tension Pneumothorax ◽  
Advanced Life Support ◽  
Cardiac Ultrasound ◽  
Coronary Artery Thrombosis

This chapter will present how advanced life support-compliant focused cardiac ultrasound can help confirm the cardiac rhythm, diagnose reversible causes, and predict favourable outcomes during cardiopulmonary resuscitation. It will describe how to recognize severe hypovolaemia, cardiac tamponade, coronary artery thrombosis, massive pulmonary embolus, and tension pneumothorax, and when to intervene. It will conclude by introducing how echo can assist clinical management during post-resuscitation care.

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