Safely completed therapeutic hypothermia in postpartum cardiac arrest survivors

Song, Kyoung Hwan; Lee, Byung Kook; Jeung, Kyung Woon; Lee, Sung Min

doi:10.1016/j.ajem.2014.12.042

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…In one case report, including two cases of postpartum TTM, one of the patients was discharged without complications, while the other patient was transferred to intensive care in a vegetative state. 9 Patient one was 31 years old and 39 weeks pregnant. Cardiac arrest occurred two minutes after delivery by cesarean section, and spontaneous circulation started after approximately four minutes of CPR.…”

Section: Discussionmentioning

confidence: 99%

Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease

Eman

Balaban²,

Süner³

et al. 2023

Pak J Med Sci

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Background and Objective: Targeted temperature management (TTM) may improve neurological outcomes and mortality after cardiac arrest. We present a targeted mild hypothermia treatment in a postpartum patient with COVID-19 after successful cardiopulmonary resuscitation (CPR). Case presentation: A 23 year old, 26-week pregnant patient with the diagnosis of COVID-19. The patient developed respiratory arrest followed by cardiac arrest and underwent CPR for six minutes. The patient underwent an emergency cesarean section after CPR in intensive care unit. After the resuscitation, 72-hours hypothermia protocol was initiated. We extubated the patient 13 days after the hypothermia procedure. The patient was conscious and cooperative. Respiratory distress worsened in the following days; the patient was re-intubated 18 days after the TTM. The benefit of targeted hypothermia was improved neurologic outcome in our patient. However, severe infectious complications led to multi-organ failure and the patient died on the 45th ICU admission day. doi: https://doi.org/10.12669/pjms.39.4.7193 How to cite this: Eman A, Balaban O, Süner KÖ, Özgün B. Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease. Pak J Med Sci. 2023;39(4):---------. doi: https://doi.org/10.12669/pjms.39.4.7193 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease

Eman

Balaban²,

Süner³

et al. 2023

Pak J Med Sci

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“…As there were only two case reports of TTM use in maternal cardiac arrest at the time of publication [44,45] and lingering concerns for bleeding because of impaired systemic coagulation, the 2015 AHA statement recommended using post-arrest cooling on an individualized basis, and, if used, follow the same current protocol as for non-pregnant) [3]. Recently, several case reports noted using post-arrest TTM in the setting of maternal cardiac arrest with favorable maternal outcomes [5,[46][47][48][49][50][51]. This mounting evidence bolsters the current AHA position supporting the use of post-arrest TTM on an individual basis in pregnancy, with particular focus on the potential for bleeding complications during TTM.…”

Section: Targeted Temperature Management Recommendationsmentioning

confidence: 99%

A modified Delphi approach to determine current treatment advances for the development of a resuscitation program for maternal cardiac arrest

et al. 2022

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Objective Maternal cardiac arrest is a rare and complex process requiring pregnancy-specific responses and techniques. The goals of this study were to (1) identify, evaluate, and determine the most current best practices to treat this patient population and (2) establish a standardized set of guidelines to serve as a foundation for a future educational simulation-based curriculum. Study design We used a three-step modified Delphi process to achieve consensus. Twenty-two healthcare experts from across North America agreed to participate in the expert panel. In round 1, 12 pregnancy-specific best practice statements were distributed to the expert panel. Panelists anonymously ranked these using a 7-point Likert scale and provided feedback. Round 2 consisted of a face-to-face consensus meeting where statements that had not already achieved consensus were discussed and then subsequently voted upon by the panelists. Results Through two rounds, we achieved consensus on nine evidence-based pregnancy-specific techniques to optimize response to maternal cardiac arrest. Round one resulted in one of the 12 best practice statements achieving consensus. Round two resulted in six of the remaining 12 gaining consensus. Best practice techniques involved use of point-of care ultrasound, resuscitative cesarean delivery, cardiopulmonary resuscitation techniques, and the use of extracorporeal cardiopulmonary resuscitation. Conclusion The results of this study provide the foundation to develop an optimal, long-term strategy to treat cardiac arrest in pregnancy. We propose these nine priorities for standard practice, curricula, and guidelines to treat maternal cardiac arrest and hope they serve as a foundation for a future educational curriculum.

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“…Die Postreanimationsbehandlung soll den Standardleitlinien entsprechen. Gezieltes Temperaturmanagement wurde in der frühen Schwangerschaft mit Überwachung des fetalen Herzens sicher und effektiv angewandt und führte nach einer termingerechten Entbindung zu einem günstigen Ergebnis für Mutter und Fötus [ 657 , 658 ].…”

Section: Evidenz Die In Die Leitlinien Einfließtunclassified

Kreislaufstillstand unter besonderen Umständen

Lott

Truhlář

Alfonzo

et al. 2021

Notfall Rettungsmed

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Diese Leitlinien des European Resuscitation Council (ERC) für den Kreislaufstillstand unter besonderen Umständen basieren auf dem 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. Dieses Kapitel enthält Leitlinien zu den Modifikationen der lebensrettenden Basismaßnahmen und erweiterten lebensrettenden Maßnahmen zur Vorbeugung und Behandlung von Kreislaufstillständen unter besonderen Umständen; insbesondere spezielle Ursachen (Hypoxie, Trauma, Anaphylaxie, Sepsis, Hypo‑/Hyperkaliämie und andere Elektrolytstörungen, Hypothermie, Lawinengeschehen, Hyperthermie und maligne Hyperthermie, Lungenembolie, Koronarthrombose, Herzbeuteltamponade, Spannungspneumothorax, Giftstoffe), spezielle Umstände (Operationssaal, Herzchirurgie, Herzkatheterlabor, Dialyseeinheit, Zahnkliniken, Transport während des Flugs, Kreuzfahrtschiffe, Sport, Ertrinken, Großschadensereignisse) und spezielle Patientengruppen (Asthma und chronisch obstruktive Lungenerkrankung, neurologische Erkrankungen, krankhafte Adipositas, Schwangerschaft). Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s10049-021-00891-z) enthält das originale Zusatzmaterial aus dem Artikel in Resuscitation. Beitrag und Zusatzmaterial stehen Ihnen auf www.springermedizin.de zur Verfügung. Bitte geben Sie dort den Beitragstitel in die Suche ein, das Zusatzmaterial finden Sie beim Beitrag unter „Ergänzende Inhalte“.

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Safely completed therapeutic hypothermia in postpartum cardiac arrest survivors

Cited by 6 publications

References 9 publications

Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease

Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease

A modified Delphi approach to determine current treatment advances for the development of a resuscitation program for maternal cardiac arrest

Kreislaufstillstand unter besonderen Umständen

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