Abstract
Cardiopulmonary arrest in the parturient is a relatively rare event but it has potentially serious consequences for the mother and her foetus. Causes in the pregnant patient are similar to those in the non-pregnant patient but embolism (pulmonary thromboembolism, amniotic fluid embolism, air), trauma and haemorrhage are more common events in contrast to the non-pregnant patient where cardiac disease is more common [1] (Table 1). As the age of women bearing children increases, ischaemic cardiac disease may become a more prominent causal factor.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Dildy GA, Clark SL (1995) Cardiac arrest during pregnancy. Obstet Gynecol Clin N Am. 22: 303–314
Marx GF (1982) Cardiopulmonary resuscitation of late-pregnant women. (letter). Anesthesiology; 56: 156
Cardosi RJ, Porter KB (1998) Cesarean delivery of twins during maternal cardiopulmonary arrest. Obstet Gynecol 92: 695–697
Katz VL, Dotters DJ, Droegemueller W (1986) Perimortem Cesarean delivery. Obstet Gynecol 68: 571–576
Parker J, Balis N, Chester S et al (1996) Cardiopulmonary arrest in pregnancy: successful resuscitation of mother and infant following immediate Caesarean section in labour ward. Aust NZ J Obstet Gynaecol 36: 207–210
Lindsay SL, Hanson GC (1987) Cardiac arrest in near-term pregnancy. Anaesthesia 42: 1074–1077
O’Connor RL, Sevarino FB (1994) Cardiopulmonary arrest in the pregnant patient: A report of a successful resuscitation. J Clin Anesth 6: 66–68
Lewis G, Drife J (eds.) (1998) Why Mothers Die. Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1994-1996. HMSO
Clark SL, Hankins GDV, Dudley DA et al (1995) Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 172: 1158–1169
Bembridge M, Lyons G (1988) Myocardial infarction in the third trimester of pregnancy. Anaesthesia 43: 202–204
Tsui BCH, Stewart B, Fitzmaurice A et al (2001) Cardiac arrest and myocardial infarction induced by postpartum intravenous ergonovine administration. Anesthesiology 94: 363–364
Hawkins JL, Koonin LM, Palmer SK et al (1997) Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology 86: 277–284
Albright GA (1979) Cardiac arrest following regional anesthesia with etidocaine or bupivacaine. (editorial) Anesthesiology 51: 285–287
Caplan RA, Ward RJ, Posner K et al (1988) Unexpected cardiac arrest during spinal anesthesia: a closed claims analysis of predisposing factors. Anesthesiology 68: 5–11
Scott DB, Tunstall ME (1995) Serious complications associated with epidural/spinal blockade in obstetrics: a two-year prospective study. International Journal of Obstetric Anesthesia 4: 133–139
Paech MJ, Godkin R, Webster S (1998) Complications of obstetric epidural analgesia and anaesthesia: a prospective analysis of 10 995 cases. International Journal of Obstetric Anesthesia 7: 5–11
Sinclair M, Simmons S, Cyna A (1999) Incidents in obstetric anaesthesia and analgesia: an analysis of 5000 AIMS reports. Anaesth Intensive Care 27: 275–281
Scott DB, Hibbard BM (1990) Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth 64: 537–541
Crawford JS (1985) Some maternal complications of epidural analgesia for labour. Anaesthesia 40: 1219–1225
Sjoberg F, Gupta A, Bengtsson M (1993) Cardiac arrest during Caesarean section. International Journal of Obstetric Anesthesia 2: 174–176
Hawthorne L, Lyons G (1997) Cardiac arrest complicating spinal anaesthesia for Caesarean section. International Journal of Obstetetric Anesthesia 6: 126–129
Matta BF, Magee P (1992) Wenckebach type heart block following spinal anaesthesia for Caesarean section. Can J Anaesth 39: 1067–1068
Thrush DN, Downs JB (1999) Vagotonia and cardiac arrest during spinal anesthesia. Anesthesiology 91: 1171–1173
Juhani TP, Hannele H (1993) Complications during spinal anesthesia for Cesarean delivery: a clinical report of one year’s experience. Reg Anesth 18: 128–131
Shen C-L, Ho Y-Y, Hung Y-C et al (2000) Arrhythmias during spinal anesthesia for Cesarean section. Can J Anesth 47: 393–397
Joglar JA, Page RL (1999) Treatment of cardiac arrhythmias during pregnancy. Safety considerations. Drug Safety 20: 85–94
Rees GAD, Willis BA (1988) Resuscitation in late pregnancy. Anaesthesia 43: 347–349
Goodwin APL, Pearce AJ (1992) The human wedge. A manoeuvre to relieve aortocaval compression during resuscitation in late pregnancy. Anaesthesia 47: 433–434
Anonymous (2000) Part 8: Advanced challenges in resuscitation Section 3: Special challenges in ECC 3F: Cardiac arrest associated with pregnancy. Resuscitation 46: 293–295
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Italia
About this paper
Cite this paper
Douglas, J. (2002). Cardiopulmonary Resuscitation in the Parturient. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2099-3_100
Download citation
DOI: https://doi.org/10.1007/978-88-470-2099-3_100
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0176-3
Online ISBN: 978-88-470-2099-3
eBook Packages: Springer Book Archive