Circulatory arrest in late pregnancy: caesarean section a vital decision for both mother and child.
Circulatory arrest during pregnancy is extremely rare and there should be a well-planned strategy for its management in all hospitals. To consider the priority of the mother's life over the child's and an unwarranted pre-term delivery may lead to hesitancy and uncertainty and jeopardize both of them. In these situations, speed is a priority. Cardiopulmonary resuscitation should commence immediately. The anaesthesiologist should be well aware of the possible advantage of a caesarean section. Even if the obstetrician is responsible for the decision to perform the operation, the anaesthesiologist should strongly support the action. An 'emergency caesarean kit' with the essential surgical instruments should be immediately available in every labour ward and emergency department.
Zdolsek
H J
HJ
Department of Anaesthesia and Intensive Care Medicine, University Hospital, Linköping, Sweden. joachim.zdolsek@lio.se
Holmgren
S
S
Wedenberg
K
K
Lennmarken
C
C
D000328:Adult; D000773:Anesthesia, Obstetrical; D001019:Aortic Rupture / Q000150:complications / Q000473:pathology; D001034:Apgar Score; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000473:pathology; D016887:Cardiopulmonary Resuscitation; D002585:Cesarean Section; D004562:Electrocardiography; D004632:Emergency Medical Services; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D011655:Pulmonary Embolism / Q000150:complications / Q000473:pathology; D055815:Young Adult