Challenges during cardiac arrest in pregnancy
A 36-year-old woman at 23 weeks and 3 days of gestation experienced a witnessed cardiopulmonary collapse. Bystander cardiopulmonary resuscitation (CPR) was initiated immediately. After advanced life support, she was transferred under mechanical CPR to a hospital for extracorporeal membrane oxygenati...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424003060 |
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| author | Korneel Berteloot Marc Sabbe |
| author_facet | Korneel Berteloot Marc Sabbe |
| author_sort | Korneel Berteloot |
| collection | DOAJ |
| description | A 36-year-old woman at 23 weeks and 3 days of gestation experienced a witnessed cardiopulmonary collapse. Bystander cardiopulmonary resuscitation (CPR) was initiated immediately. After advanced life support, she was transferred under mechanical CPR to a hospital for extracorporeal membrane oxygenation (ECMO). There, a delayed perimortem caesarean section (PMCS) was performed. Consideration to initiate ECMO following the PMCS was ultimately discontinued due to extensive intra-abdominal haemorrhage and the elapsed time of over one hour since the collapse. A full body computed tomography (CT) scan following ROSC revealed bilateral pulmonary embolisms and grade 4 liver laceration with active bleeding due to mechanical CPR. Despite the prolonged duration of cardiac arrest (69 min) and significant metabolic derangements, the patient had a favourable recovery and was discharged after 42 days with a good neurological outcome. This case illustrates the challenges of timely perimortem caesarean section in out-of-hospital cardiac arrest, where guidelines recommend performing the procedure within 4 min of maternal collapse. It also highlights the risks associated with mechanical chest compression devices. |
| format | Article |
| id | doaj-art-a500ccd76bbd4eaf948f53aee804f44f |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-a500ccd76bbd4eaf948f53aee804f44f2025-01-04T04:57:11ZengElsevierResuscitation Plus2666-52042025-01-0121100855Challenges during cardiac arrest in pregnancyKorneel Berteloot0Marc Sabbe1Corresponding author at: Herestraat 49, 3000 Leuven, Belgium.; Department of Emergency Medicine, University Hospital Gasthuisberg, Leuven, BelgiumDepartment of Emergency Medicine, University Hospital Gasthuisberg, Leuven, BelgiumA 36-year-old woman at 23 weeks and 3 days of gestation experienced a witnessed cardiopulmonary collapse. Bystander cardiopulmonary resuscitation (CPR) was initiated immediately. After advanced life support, she was transferred under mechanical CPR to a hospital for extracorporeal membrane oxygenation (ECMO). There, a delayed perimortem caesarean section (PMCS) was performed. Consideration to initiate ECMO following the PMCS was ultimately discontinued due to extensive intra-abdominal haemorrhage and the elapsed time of over one hour since the collapse. A full body computed tomography (CT) scan following ROSC revealed bilateral pulmonary embolisms and grade 4 liver laceration with active bleeding due to mechanical CPR. Despite the prolonged duration of cardiac arrest (69 min) and significant metabolic derangements, the patient had a favourable recovery and was discharged after 42 days with a good neurological outcome. This case illustrates the challenges of timely perimortem caesarean section in out-of-hospital cardiac arrest, where guidelines recommend performing the procedure within 4 min of maternal collapse. It also highlights the risks associated with mechanical chest compression devices.http://www.sciencedirect.com/science/article/pii/S2666520424003060PregnancyCardiac arrestPerimortem section caesareanMechanical cardiorespiratory resuscitationExtracorporeal cardiopulmonary resuscitationPulmonary embolism |
| spellingShingle | Korneel Berteloot Marc Sabbe Challenges during cardiac arrest in pregnancy Resuscitation Plus Pregnancy Cardiac arrest Perimortem section caesarean Mechanical cardiorespiratory resuscitation Extracorporeal cardiopulmonary resuscitation Pulmonary embolism |
| title | Challenges during cardiac arrest in pregnancy |
| title_full | Challenges during cardiac arrest in pregnancy |
| title_fullStr | Challenges during cardiac arrest in pregnancy |
| title_full_unstemmed | Challenges during cardiac arrest in pregnancy |
| title_short | Challenges during cardiac arrest in pregnancy |
| title_sort | challenges during cardiac arrest in pregnancy |
| topic | Pregnancy Cardiac arrest Perimortem section caesarean Mechanical cardiorespiratory resuscitation Extracorporeal cardiopulmonary resuscitation Pulmonary embolism |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424003060 |
| work_keys_str_mv | AT korneelberteloot challengesduringcardiacarrestinpregnancy AT marcsabbe challengesduringcardiacarrestinpregnancy |