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

Autor: Adan AJ; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI., Nafday A; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI. Electronic address: anafday@med.umich.edu., Beyer AB; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI., Odom MJ; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI., Theyyunni NR; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI., Ward KR; Department of Emergency Medicine, Michigan Medicine, Ann Arbor, MI.
Jazyk: angličtina
Zdroj: Annals of emergency medicine [Ann Emerg Med] 2019 Dec; Vol. 74 (6), pp. 772-774. Date of Electronic Publication: 2019 May 09.
DOI: 10.1016/j.annemergmed.2019.03.012
Abstrakt: Cardiac arrest and resuscitation of the pregnant woman at gestational term is rare. Depending on the circumstances of cardiac arrest and its timing, options are limited for allowing successful resuscitation of both mother and neonate. Herein, we describe the use of tandem perimortem cesarean section and thoracotomy for open-chest cardiac massage in a young woman with newly diagnosed peripartum cardiomyopathy. We used goal-directed resuscitation including diagnostic ultrasonography and capnography to assist in decision making and successfully resuscitated both mother and neonate to hospital discharge without discernable long-term complications.
(Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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