Key result
Prolonged resuscitation yields full recovery after two cardiac arrests during cesarean section on ritodrine therapy.
Why the study?
Ritodrine, used for prevention of preterm labor, has cardiovascular adverse effects that can complicate urgent cesarean sections under general anesthesia.
Case Report (n=1)
Prolonged resuscitation (70 minutes) including direct and indirect heart massage can lead to complete recovery in a pregnant patient experiencing cardiac arrest due to ritodrine adverse effects during an urgent cesarean section.
Ritodrine is the only medicament approved by FDA in the USA as well as in our country for prevention of the threatening preterm labor. Its adverse effects upon the respiratory and cardiovascular systems, including pulmonary oedema and myocardial ischemia, occur more frequently during the intravenous therapy than during the oral maintenance therapy. The aim of this report was to present a patient with cardiovascular adverse effects of ritodrine, who had her pregnancy terminated by an urgent cesarean section under general anesthesia. In the course of operation, the patient had two cardiac arrest (total of 70 min). Resuscitation was performed by direct and indirect heart massage. The patient's condition was stabilized during the next six hours. The patient was transferred to the coronary unit, where the treatment was continued for 30-days period, after which the patient was released home as completely recovered.
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Djordjević et al. (2002) conducted a case report in Cardiovascular adverse effects of ritodrine (n=1). Ritodrine was evaluated. A pregnant patient on extended ritodrine therapy who suffered two cardiac arrests during an urgent cesarean section was successfully resuscitated and discharged fully recovered.
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