Perimortem caesarean section.
نویسندگان
چکیده
This review describes a simple approach to perimortem caesarean section (PMCS) that can be used by a doctor in the resuscitation room or prehospital environment when faced with a mother of more than 20 weeks gestation in cardiac arrest. It explores the indications for and contraindications to the procedure, the physiological rationale behind it, equipment needed, technical aspects of the procedure and reviews recent literature on maternal and fetal outcomes. Like other uncommon procedures such as emergency department thoracotomy, rehearsal and preparation for a PMCS is essential to give both mother and baby the best chance of survival.
منابع مشابه
Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest
The optimal treatment of a severe hemodynamic instability from shock to cardiac arrest in late term pregnant women is subject to ongoing studies. However, there is an increasing evidence that early "separation" between the mother and the foetus may increase the restoration of the hemodynamic status and, in the cardiac arrest setting, it may raise the likelihood of a return of spontaneous circul...
متن کاملImproving resuscitation of pregnant women
In the November edition of this Journal, colleagues Calle et al. described a very interesting case of maternal mortality after cardiac arrest in a woman with situs inversus [1]. While their article mainly focusses on the wrongful delivery of shocks by the AED in this woman, possibly related to her situs inversus, I would like to address two other very important issues in the resuscitation of pr...
متن کاملAwareness of resuscitation guidelines in pregnant women
We welcome this letter to the editor in reaction to our article ‘A fatal combination of situs inversus, pregnancy and cardiac arrest treated with an automated external defibrillator’. The author correctly points out the importance of left lateral tilt and early perimortem delivery of the foetus via Caesarean section. As the length of a Rhythm Puzzle is limited, the scope of our article was rest...
متن کاملMaternal cardiac arrest and perimortem caesarean delivery: evidence or expert-based?
AIM To examine the outcomes of maternal cardiac arrest and the evidence for the 4-min time frame from arrest to perimortem caesarean delivery (PMCD) recommended in current resuscitation and obstetric guidelines. DATA SOURCES AND METHODS Review and data extraction from all reported maternal cardiac arrests occurring prior to delivery (1980-2010). Cases were included if they provided details re...
متن کاملAn inexpensive and novel model for perimortem cesarean section.
INTRODUCTION Perimortem cesarean section is a rare, time-critical, and potentially life-saving procedure for both the fetus and mother. This makes perimortem cesarean section an ideal and recommended subject for simulation learning and practice. METHODS Various attempts have been made to produce models to simulate emergency caesarian sections. We designed a cost-effective and easy to assemble...
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ورودعنوان ژورنال:
- Emergency medicine journal : EMJ
دوره 33 3 شماره
صفحات -
تاریخ انتشار 2016