Key result
Immediate resuscitation and delivery of neonates following asystole during uterotomy in a 40-year-old woman pregnant with triplets resulted in good maternal and neonatal outcomes.
Case Report (n=1)
Immediate resuscitation and delivery are critical for maternal and neonatal survival during cardiac arrest in cesarean section, with differential diagnosis including Bezold Jarisch reflex and amniotic fluid embolism.
Rapid resuscitation may aid survival in cesarean asystole; single case leaves open generalizability and optimal protocols.
Cardiac arrest during cesarean section is very rare. Obstetrical teams have low exposure to these critical situations necessitating frequent rehearsal and knowledge of its differential diagnosis and treatment. A 40-year-old woman pregnant with triplets underwent cesarean sections because of vaginal bleeding due to a placenta previa at 35.2 weeks of gestation. Spinal anesthesia was performed. Asystole occurred during uterotomy. Immediate resuscitation and delivery of the neonates eventually resulted in good maternal and neonatal outcomes. The differential diagnosis is essential and should include obstetric and non-obstetric causes. We describe the consideration of Bezold Jarisch reflex and amniotic fluid embolism as most appropriate in this case.
No takes yet. Share an insight, caveat, or question.
Liempt et al. (2015) conducted a case report in Cardiac arrest during cesarean section (n=1). Immediate resuscitation and delivery was evaluated on Maternal and neonatal outcomes. Immediate resuscitation and delivery of neonates following asystole during uterotomy in a 40-year-old woman pregnant with triplets resulted in good maternal and neonatal outcomes.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: