Resuscitative cardiac arrest during a Caesarean section-When every second counts: A case report

• 作者: Rabi Narayan Hota Shalendra Singh Priyanka Rathore Neetika Tripathi Priya Taank
• 来源期刊: 急性病杂志（英文版）
• 年，卷（期）: 2022,（1）
• 所属期刊栏目: Case Report
• 页码范围: 42-44
• 页数: 3页
• 语种: 英文
• DOI: 10.4103/2221-6189.336580

摘要

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.