Cardiac arrest in a pregnant woman with pregnancy-induced hypertension: A case report.
10.17085/apm.2016.11.3.269
- Author:
Hea Jo YOON
1
;
Young Deuk KIM
;
Young Seok JEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Cheil General Hospital & Women Healthcare Cener, Dankook University College of Medicine, Seoul, Korea. jisaac@naver.com
- Publication Type:Case Report
- Keywords:
Cardiac arrest;
Cardiopulmonary resuscitation;
Perimortem cesarean section;
Pregnancy
- MeSH:
Adult;
Blood Pressure;
Brain;
Cardiopulmonary Resuscitation;
Cesarean Section;
Emergencies;
Female;
Fetus;
Heart Arrest*;
Humans;
Hypertension, Pregnancy-Induced*;
Hypoxia-Ischemia, Brain;
Pregnancy;
Pregnant Women*;
Respiration;
Subarachnoid Hemorrhage;
Ultrasonography
- From:Anesthesia and Pain Medicine
2016;11(3):269-272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 39-year-old woman with an intrauterine pregnancy and small-for-gestational-age fetus was admitted at 34 + 1 weeks for management of pregnancy-induced hypertension. On the 13th day of admission, the patient was found in the ward toilet with a cardiac arrest. Cardiopulmonary resuscitation (CPR) was initiated immediately and cardiac monitoring revealed asystole. Manual uterine displacement was performed for CPR to be effective. A return of spontaneous circulation was observed, but repeated cardiac arrest occurred subsequently. Twenty-one minutes after starting CPR, a peri-mortem cesarean section was started, and delivery occurred 1 minute later. After delivery of the fetus, the patients' blood pressure stabilized, but there was no spontaneous respiration. Emergency brain CT revealed a large subarachnoid hemorrhage. Neonatal brain ultrasound showed hypoxic-ischemic encephalopathy. The patient was transferred to another hospital for neurosurgical intervention, where she expired on the third day after cardiac arrest.
