Cardiac arrest during caesarean section

Sjöberg, Folke; Gupta, Abhishek; Bengtsson, Mats

doi:10.1016/0959-289x(93)90012-7

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…Shortly after this, irregular cardiac activity was noted. [4] Rescue thrombolysis with Reteplase was instituted in the second case of cardiac arrest. [6] As in our case, this lady also had severe uterine bleeding which was managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

“…This could be due to a number of factors including poor blood flow in the legs due to the growing uterus and compression of the veins and acceleration of coagulation. [4] This risk is further increased by previous thromboembolism, obesity, lupus anticoagulant, immobilization and operative delivery. [5] Our patient had four risk factors for thromboembolic disease, namely she was pregnant, age was more than 35 years, she was undergoing surgery and had a family history of thrombosis.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Although some authors disagree, women who undergo a caesarean delivery may have a three-to ninefold greater risk of pulmonary embolism compared with those who deliver vaginally. [3,4] Two-thirds of the patients who die from a pulmonary embolus do so within 30 min of the acute event. [5] Our case emphasizes the importance of timely echocardiography and prompt decisionmaking of this life-threatening condition.…”

Section: Discussionmentioning

confidence: 99%

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Successful thrombolysis of right heart emboli-in-transit causing cardiac arrest during caesarean section

Bulchandani

Imtiaz

2012

J Obstet Anaesth Crit Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful thrombolysis of right heart emboli-in-transit causing cardiac arrest during caesarean section

Bulchandani

Imtiaz

2012

J Obstet Anaesth Crit Care

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“…A thrombus was formed asymptomatically during our patient’s pregnancy, and following the release of the compression on the ovarian vein by gravid uterus and intrauterine maneuver, the more proximal parts of the thrombus disengaged and lodged in the pulmonary vasculature. There are several reports describing cardiac arrest caused by PE due to deep vein thrombosis during cesarean section after delivery [ 6 , 7 ].…”

Section: Case Presentationmentioning

confidence: 99%

Pulmonary embolism caused by ovarian vein thrombosis during cesarean section: a case report

Oda¹,

Fujita

Motohisa³

et al. 2018

JA Clin Rep

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BackgroundOvarian vein thrombosis is a rare complication of pregnancy. The representative complaints of patients with ovarian vein thrombosis are abdominal pain and fever. In some cases, however, fatal pulmonary embolism may develop. We report a case of pulmonary embolism presenting with severe hypotension and loss of consciousness during cesarean section possibly caused by ovarian vein thrombosis.Case presentationA 25-year-old woman at 38 weeks 4 days of gestation was scheduled for repeat cesarean section. Her past history was unremarkable, and the progress of her pregnancy was uneventful. She did not experience any symptoms indicative of deep vein thrombosis. Cesarean section was performed under spinal anesthesia, and a healthy newborn was delivered. After removal of the placenta, she suddenly developed dyspnea, hypotension, and loss of consciousness with decreased peripheral oxygen saturation. Blood pressure, heart rate, and oxygen saturation recovered after tracheal intubation and mechanical ventilation with oxygen. Postoperative computed tomography revealed no abnormality in the brain or in the pulmonary artery, but a dilated right ovarian vein with thrombi, extending up to the inferior vena cava, was found. A diagnosis of pulmonary embolism caused by ovarian vein thrombosis was made, and heparin was administered. The tracheal tube was removed on the first postoperative day. Her postoperative course was uneventful, and she was discharged with no complications.ConclusionFatal pulmonary embolism might be caused by ovarian vein thrombosis during cesarean section. Careful and continuous observation of the patient after delivery and prompt treatment are important.

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“…La anestesia obstétrica es un componente fundamental de la atención médica durante la cesárea, un procedimiento quirúrgico común en obstetricia que implica la entrega por medio de una incisión quirúrgica en el abdomen y el útero de la madre (1). La evolución de las técnicas anestésicas ha sido fundamental para mejorar la seguridad y el bienestar de las pacientes sometidas a esta intervención, reduciendo los riesgos tanto para la madre como para el feto.…”

Section: Introductionunclassified

Anestesia Obstétrica: Innovaciones Y Desafíos en La Cesáreas

Salazar,

Arboleda,

Miguel

et al. 2024

Braz. J. Implantol. Health Sci.

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La anestesia obstétrica es esencial en las cesáreas, pero aún enfrenta desafíos. Esta revisión analiza las innovaciones y desafíos recientes en este campo para mejorar la atención y resultados en pacientes. Objetivo: Analizar las innovaciones en anestesia obstétrica para cesáreas, con el fin de mejorar la atención y resultados obstétricos y neonatales. Metodología: Se establecieron criterios de inclusión para seleccionar estudios en inglés o español desde 2018. Se realizó una búsqueda en bases de datos reconocidas y se extrajeron datos relevantes para identificar tendencias. Resultados: La anestesia general y regional son las modalidades principales. La primera se reserva para urgencias o cuando no es posible la regional. La regional, como la epidural y raquídea, ofrece una opción segura y efectiva en la mayoría de los casos. En situaciones de emergencia, se han utilizado nuevas combinaciones anestésicas. La técnica combinada espinal-epidural (CEE) ofrece rapidez y prolongación del bloqueo. Otra combinación, epidural seguida de anestesia general, se usa cuando se necesita un rápido inicio de la anestesia general después de un bloqueo epidural insuficiente. Además, el bloqueo transverso del plano abdominal (TAP) ha ganado popularidad por su efectividad y reducción de efectos secundarios. Conclusiones: La selección cuidadosa del tipo de anestesia en cesáreas es crucial para la seguridad materno-fetal. Las nuevas combinaciones anestésicas ofrecen opciones seguras y efectivas en diferentes escenarios, resaltando la importancia de evaluar cada caso individualmente.

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Cardiac arrest during caesarean section

Cited by 4 publications

References 8 publications

Successful thrombolysis of right heart emboli-in-transit causing cardiac arrest during caesarean section

Successful thrombolysis of right heart emboli-in-transit causing cardiac arrest during caesarean section

Pulmonary embolism caused by ovarian vein thrombosis during cesarean section: a case report

Anestesia Obstétrica: Innovaciones Y Desafíos en La Cesáreas

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