title: Cardiac arrest and resuscitation with an automatic mechanical chest compression device (LUCAS) due to anaphylaxis of a woman receiving caesarean section because of pre-eclampsia.
abstract: We report a case of anaphylaxis with pulseless electrical activity (PEA)(verified by ECG and a radial intra-arterial line) in a 30-year-old woman who received 3G Promiten (dextran-1) and a prophylactic intra-venous infusion of Macrodex (dextran) for postoperative thromboembolism during caesarean section for pre-eclampsia in the 24th week of gestation. Manual chest compressions, followed by mechanical chest compressions (LUCAS, Jolife, Lund, Sweden), were performed for 50min before restoration of spontaneous circulation (ROSC). She awoke the next day with no sequelae. She had some suction cup marks on the sternum but otherwise no complications of the chest compressions. At follow up by phone 1 month later, she and her baby were doing well.
authors.affiliation: Ulleval University Hospital, Department of Anesthesiology, Oslo, Norway.
authors.forename: Tor Thomas
authors.initials: TT
authors.lastname: Vatsgar
authors.forename: Ola
authors.initials: O
authors.lastname: Ingebrigtsen
authors.forename: Lars Olav
authors.initials: LO
authors.lastname: Fjose
authors.forename: Bente
authors.initials: B
authors.lastname: Wikstrøm
authors.forename: Jan Erik
authors.initials: JE
authors.lastname: Nilsen
authors.forename: Lars
authors.initials: L
authors.lastname: Wik
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced / Q000150:complications*; D000925:Anticoagulants / Q000009:adverse effects*; D002585:Cesarean Section; D003911:Dextrans / Q000009:adverse effects*; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006336:Heart Massage / Q000295:instrumentation*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D011225:Pre-Eclampsia; D011247:Pregnancy; D013923:Thromboembolism / Q000517:prevention & control
chemical_list: D000925:Anticoagulants; D003911:Dextrans