title: [New Insights into Maternal Cardiopulmonary Resuscitation--Significance of Simulation Research and Training].
abstract: Pregnancy-related mortality, estimated to occur in approximately 1: 50,000 deliveries, is rare in developed countries. The 2010 American Heart Association (AHA) Guidelines for Resuscitation emphasize the importance of high-quality chest compression as a key determinant of successful cardiopulmonary resuscitation. During pregnancy, the uterus can compress the inferior vena cava, impeding venous return and thereby reducing stroke volume and cardiac output. To maximize the effectiveness of chest compressions in pregnancy, the AHA guidelines recommend the 27-30 degrees left-lateral tilt (LLT) position. When CPR is performed on parturients in the LLT position, chest compressions will probably be more effective if performed with the operator standing on the left side of the patient. The videolaryngoscope Pentax-AWS Airwayscope (AWS) was found to be an effective tool for airway management during chest compressions in 27 LLT simulations, suggesting that the AWS may be a useful device for airway management during maternal resuscitation.
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Fujiwara
authors.forename: Nozomi
authors.initials: N
authors.lastname: Majima
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Minami
mesh_terms: D058109:Airway Management; D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000295:instrumentation / Q000379:methods; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications