Resuscitative cardiac arrest during a Caesarean section-When every second counts: A case report

Autor: Rabi Narayan Hota, Shalendra Singh, Priyanka Rathore, Neetika Tripathi, Priya Taank
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Acute Disease, Vol 11, Iss 1, Pp 42-44 (2022)
Druh dokumentu: article
ISSN: 2221-6189
2589-5516
DOI: 10.4103/2221-6189.336580
Popis: Rationale: Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade. Patient’s concern: A 21-year-old patient at 37 weeks of gestation, with previous lower segment Caesarean section pregnancy presented for elective Caesarean section. Diagnosis: Cardiac arrest after performing a subarachnoid block. Intervention: Maternal resuscitation. Outcome: Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation. A single live healthy male baby was delivered. Lesson: A careful preoperative evaluation, adequate preload, constant vigilant monitoring to recognize vasovagal response at the earliest, and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.
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