Key result
Maternal cardiopulmonary resuscitation achieved return of spontaneous circulation within 4-5 minutes in a 21-year-old pregnant patient who suffered cardiac arrest after a subarachnoid block.
Why the study?
Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade.
Case Report (n=1)
Immediate initiation of resuscitative measures and vigilant monitoring are crucial for managing cardiac arrest following neuraxial blockade in pregnant patients.
Drafting the Implication (Iterative Process):.
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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Hota et al. (2022) conducted a case report in Cardiac arrest during Caesarean section (n=1). Maternal resuscitation was evaluated on Return of spontaneous circulation. Maternal cardiopulmonary resuscitation achieved return of spontaneous circulation within 4-5 minutes in a 21-year-old pregnant patient who suffered cardiac arrest after a subarachnoid block.
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