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

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 a...

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Bibliographic Details
Published in:Journal of acute disease 2022-01, Vol.11 (1), p.42-44
Main Authors: Hota, Rabi, Singh, Shalendra, Rathore, Priyanka, Tripathi, Neetika, Taank, Priya
Format: Article
Language:English
Subjects:
Bupivacaine
Cardiac arrest
cardiac arrest
pregnancy
neuraxial blockade
subarachnoid block
Cesarean section
Diagnosis
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Summary: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.
ISSN:2221-6189
2221-6189
DOI:10.4103/2221-6189.336580