Cardiovascular Disasters in Pregnancy

Sommerkamp, Sarah K.; Gibson, Alisa

doi:10.1016/j.emc.2012.08.007

Cited by 9 publications

(3 citation statements)

References 44 publications

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“…Persistent arrhythmia or rapid ventricular rate response may cause hemodynamic deterioration in the fetus or in both the fetus and the mother. 1,3 Therefore, these arrhythmias should be treated early and effectively. In cases of arrhythmia with severe hemodynamic compromise resistant to medical therapy and recurring after direct current cardioversion, ablation may be the treatment of choice.…”

Section: Introductionmentioning

confidence: 99%

Catheter ablation of cardiac arrhythmias in pregnancy without fluoroscopy: A case control retrospective study

Koźluk¹,

Piątkowska²,

Kiliszek³

et al. 2017

Adv Clin Exp Med

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Section: Introductionmentioning

confidence: 99%

Catheter ablation of cardiac arrhythmias in pregnancy without fluoroscopy: A case control retrospective study

Koźluk¹,

Piątkowska²,

Kiliszek³

et al. 2017

Adv Clin Exp Med

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“…Obtaining intravenous (IV) access above the diaphragm, giving 100% oxygen, and alleviating inferior vena cava compression are all parts of the initial therapy. There are numerous ways to relieve aortocaval compression [ 10 ]. CARPREG II risk scores.…”

Section: Reviewmentioning

confidence: 99%

Cardiopulmonary Arrest During Pregnancy: A Review Article

Pawar¹,

Anjankar²,

Anjankar³

et al. 2023

Cureus

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Massive pulmonary embolism (PE) is an uncommon but severe complication of pregnancy or during the first few weeks after giving birth. Our intention was to thoroughly analyze the information available to its management methods. Significant bleeding of mother survival and early deliveries in fetal survivals were having hemorrhage and were having key outcomes. We found 127 severe PE cases that have had at least one form of treatment (at least 83% big; 23% with cardiac arrest). The 83 women who received thrombolysis had a 94% (95%) survival rate. Cardiac arrest in pregnancy is uncommon, although maintaining current competency can be challenging. While maternal mortality rates have decreased globally over the past 25 years, they have increased in the United States. The intricacy of the maternal mortality issue is a result of a number of clinical and socioeconomic problems such as unequal healthcare access, racial and ethnic disparities, maternal comorbidities, and bias in epidemiologic ascertainment. The importance of doctors being prepared to react to a potential maternal cardiac arrest in any situation where they are providing treatment for pregnant women is highlighted by the rise in maternal mortality. For the treatment of maternal cardiac arrest, an interdisciplinary team with expertise in both the maternal resuscitation procedure and the physiological changes that take place during pregnancy is necessary. Additionally offered are basic and advanced cardiac life support protocols. Techniques to remove obstacles like aortocaval compression that could impair the effectiveness of resuscitation should be used.

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“…En el año 2010, se publica el International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations que enuncia los cambios más recientes en reanimación cardiopulmonar; a su vez, se presentan las recomendaciones para grupos especiales, incluyendo la paciente obstétrica (3,4). Estas recomendaciones han sido adoptadas por los grupos especializados en reanimación y medicina de emergencias en todo el mundo (11)(12)(13)(14)(15)(16)(17)(18)(19)(20). En el 2014 se publica el Consenso de la Sociedad de Anestesia Obstétrica y Perinatología (SOAP) que adopta estas recomendaciones y las complementa con nuevas recomendaciones de estudios realizados luego del 2010 (21).…”

Section: Introductionunclassified

Resucitación cardiopulmonar y cerebral en la embarazada. Al final del colapso materno

Vasco-Ramírez¹

2014

Rev. Colomb. Obstet. Ginecol.

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<p style="font: small/normal verdana; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; widows: 1; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px;">Objetivo: proporcionar a los profesionales de la salud involucrados en el manejo de gestantes con complicaciones (obstetras, enfermeras, médicos generales y de emergencias, anestesiólogos, intensivistas, entre otros) los principios fundamentales de prevención y manejo de paro cardiorrespiratorio (PCR) en este grupo poblacional con el fin de mejorar los resultados del binomio madre-hijo.<p style="font: small/normal verdana; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; widows: 1; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px;">Materiales y métodos: el documento se basa en una búsqueda de publicaciones en las bases de datos Medline, SciELO y Embase utilizando los términos "Cardiopulmonary Resuscitation, Pregnancy, Perimortem Cesarean, Maternal Cardiac Arrest, Cardiac arrest in pregnancy", y restringida a los siguientes tipos de publicación: "Meta Analysis, Systematic Reviews, Practice Guideline, Randomized Controlled Trial, Review, Case Report, Chapter, Editorial, Survey".<p style="font: small/normal verdana; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; widows: 1; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px;">Resultados: se encontraron 78 títulos de los cuales se incluyeron 63; de estos, 22 corresponden a revisiones narrativas, 20 a reportes y series de caso, 8 a guías de práctica clínica, 5 a ensayos clínicos, 4 editoriales, 2 corresponden a revisiones sistemáticas o metaanálisis, 1 capítulo de libro y 1 encuesta o survey.<p style="font: small/normal verdana; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; widows: 1; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px;">Conclusiones: el paro cardiaco en gestantes impone un reto al grupo interdisciplinario que lo enfrenta, por ser una entidad de baja frecuencia que se puede asociar a un alto grado de morbimortalidad materna y perinatal. Las principales acciones por realizar son: activación del código azul obstétrico con respuesta adecuada para realización de histerotomía de emergencia oportuna, compresiones torácicas de buena calidad, desviación manual uterina 15º a la izquierda cuando el útero grávido se palpe por encima del ombligo materno, manejo avanzado farmacológico y de vía aérea, y cuidado óptimo luego de la resucitación para la madre y el neonato.

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Cardiovascular Disasters in Pregnancy

Cited by 9 publications

References 44 publications

Catheter ablation of cardiac arrhythmias in pregnancy without fluoroscopy: A case control retrospective study

Catheter ablation of cardiac arrhythmias in pregnancy without fluoroscopy: A case control retrospective study

Cardiopulmonary Arrest During Pregnancy: A Review Article

Resucitación cardiopulmonar y cerebral en la embarazada. Al final del colapso materno

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