Key result
A 36-year-old woman experienced sudden cardiac arrest, likely triggered by the Bezold-Jarisch reflex, during a cesarean section under spinal anesthesia and fully recovered after 2 minutes of CPR.
Why the study?
Cardiac arrest is uncommon during cesarean sections, leaving obstetric teams with low exposure and a need for frequent training in early identification, differential diagnosis, and treatment.
Case Report (n=1)
No
This case report highlights the need for obstetric teams to be prepared for the early identification and differential diagnosis of maternal cardiac arrest during cesarean sections.
Highlights the critical need for obstetric team vigilance during spinal anesthesia; leaves open the exact pathophysiological.
Cardiac arrest is relatively an uncommon event during cesarean sections. That’s why obstetric teams have low exposure to these critical situations and need frequent training in early identification, differential diagnosis and treatment. We present a case report of a 36-year-old woman, who underwent cesarean section under spinal anesthesia due to delayed labor progress. Once the skin incision was performed the patient underwent asystole. There is a wide range of etiologies for maternal cardiac arrest. We describe and analyze the possible etiologies that could have led to cardiac arrest in this particular case. Citation: Germanova L, Czajkowska K, Gomes J, Infante C, Castro M, Martins I. Cardiac arrest during cesarean section - A case report. Anaesth pain & intensive care 2019;23(4)__ Received: 10 September 2019, Reviewed: 28 September, 23 October 2019, Revised: 24 October 2019, Accepted: 28 October 2019
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Germanova et al. (2020) conducted a case report in Cardiac arrest during cesarean section (n=1). Combined spinal-epidural anesthesia was evaluated on Cardiac arrest and recovery. A 36-year-old woman experienced sudden cardiac arrest, likely triggered by the Bezold-Jarisch reflex, during a cesarean section under spinal anesthesia and fully recovered after 2 minutes of CPR.
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