title: Intact Survival After Obstetric Hemorrhage and 55 Minutes of Cardiopulmonary Resuscitation.
abstract: Cardiac arrest occurs in approximately 1:12,000 parturients. Among nonpregnant patients who have in-hospital cardiac arrest, those whose spontaneous circulation does not return within 15 to 20 minutes have a high risk of death and disability, so life support efforts are generally stopped after this period. However, among parturients, witnessed in-hospital arrest is often reversible and has a better prognosis. We describe a successful clinical outcome after maternal cardiac arrest and 55 minutes of advanced cardiac life support. This case underscores the importance of high-quality cardiopulmonary resuscitation and raises questions about the appropriate duration of resuscitation efforts in otherwise healthy young mothers with a potentially reversible cause of arrest.
authors.affiliation: From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Anast
authors.forename: Joseph
authors.initials: J
authors.lastname: Kwok
authors.forename: Brendan
authors.initials: B
authors.lastname: Carvalho
authors.forename: Steven
authors.initials: S
authors.lastname: Lipman
authors.forename: Pamela
authors.initials: P
authors.lastname: Flood
mesh_terms: D000328:Adult; D022561:Advanced Cardiac Life Support / Q000379:methods*; D036861:Delivery, Obstetric / Q000009:adverse effects; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006470:Hemorrhage / Q000150:complications / Q000628:therapy*; D006801:Humans; D013997:Time Factors