Management of Immediate Post-Arrest Lower Segment Cesarean Section in a 25-Year-Old with Previous LSCS: A Case Report
Abstract:
Immediate Post-Arrest
Lower Segment Caesarean Section (LSCS) is a serious circumstance that must be managed quickly and efficiently to
guarantee the mother's and fetus's well-being. This emergency occurs when a pregnant
woman has a cardiac arrest,
prompting rapid delivery to enhance maternal and fetal prognosis. This case
report details the effective care of an immediate
post-arrest LSCS in a 25-year-old prenatal woman at 38 weeks and 2 days gestation who had previously had an
LSCS. The patient was in labor with a breech presentation with draining PV. Following a sudden cardiac
arrest during preoperative preparation for an emergency LSCS, a multidisciplinary strategy comprising
obstetric, anaesthetic, and neonatal teams was critical in ensuring a favourable
result for both mother and baby.
References:
[1]. van Liempt, S. W.,
Stoecklein, K., Tjiong, M. Y., Schwarte, L. A., de Groot, C. J., Teunissen, P. W.,
2015, Essentials in cardiac arrest during cesarean section. Clin Pract.
2015 Feb 17;5(1):668.
[2]. Hill, C. C., Pickinpaugh,
J., 2008, Trauma and surgical emergencies in the obstetric patient. Surg
Clin North Am., 2008 Apr;88(2):421-40, viii.
[3].
Curran, C. A., 2005, Perianesthesia care following
obstetric emergencies at risk for multisystem organ dysfunction. Journal of PeriAnesthesia Nursing. 2005 Jun; 20(3):185–99.
[4].
Whitty,
J. E., 2002, Maternal cardiac arrest in pregnancy. Clin Obstet Gynecol.
2002, Jun;45(2):377-92.
[5]. Prior, C. H., Burlinson, C. E. G., & Chau, A., 2022, Emergencies in obstetric anaesthesia: A narrative review.
Anaesthesia, 77(12), 1416–1429. https://doi.org/10.1111/anae.15839
[6].
Zelop,
C. M., Einav, S., Mhyre, J. M., Martin, S., 2018, Cardiac arrest during
pregnancy: Ongoing clinical conundrum. American Journal of Obstetrics and Gynecology. 2018 Jul 1;219(1):52-61.
[7]. Carlier, L., Devroe, S.,
Budts, W., Van Calsteren, K., Rega, F., Van de Velde, M., Rex, S., 2020,
Cardiac interventions in pregnancy
and peripartum–A narrative review of the literature. Journal of Cardiothoracic and Vascular Anesthesia. 2020, Dec 1;34(12):3409-19.
[8].
Lipman,
S., Cohen, S., Einav, S., Jeejeebhoy, F., Mhyre, J. M., Morrison, L. J., Katz,
V., Tsen, L. C., Daniels, K., Halamek, L. P., Suresh, M. S., Arafeh, J.,
Gauthier, D., Carvalho, J. C., Druzin, M., Carvalho, B., 2014, Society for
Obstetric Anesthesia and Perinatology. The Society for Obstetric Anesthesia and
Perinatology consensus statement on the management of cardiac arrest in
pregnancy. Anesth Analg. 2014 May;118(5):1003-16.
[9]. d’Arby Toledano, R.,
Madden, H. E, Leffert, L., 2019, Anesthetic management of nonobstetric surgery
during pregnancy. Current Anesthesiology Reports. 2019 Feb 19;9(1):31–8.
[10]. Chalkias, A., Mongardon,
N., Boboshko, V., Cerny, V., Constant, A. L., De Roux, Q., Finco, G., Fumagalli,
F., Gkamprela, E., Legriel, S., Lomivorotov, V., Magliocca, A., Makaronis, P.,
Mamais, I., Mani, I., Mavridis, T., Mura, P., Ristagno, G., Sardo, S.,
Papagiannakis, N., Xanthos, T., 2012, PERIOPCA Consortium. Clinical practice
recommendations on the management of perioperative cardiac arrest: A report
from the PERIOPCA Consortium. Crit Care. 2021 Jul 29;25(1):265.
[11]. Pecher, S., Williams, E., 2017,
Out-of-hospital cardiac arrest in pregnancy
with good neurological outcome for mother and infant.
International Journal of Obstetric Anesthesia. 2017 Feb 1;29:81-4.
[12]. Nelissen, E.
C., de Zwaan, C., Marcus, M. A., Nijhuis, J. G., 2009, Maternal cardiac arrest in early pregnancy. International Journal of Obstetric Anesthesia, 2009 Jan 1;18(1):60-3.
[13]. Skrifvars, M. B., 2020, Intensive Care Management of the Pregnant Patient after
Cardiac Arrest. Principles and Practice of Maternal Critical
Care, 2020:383-400.
[14]. Bajwa, S. K, Bajwa, S. J, Sood, A., 2010,
Cardiac arrest in a case of undiagnosed dilated cardiomyopathy patient presenting for emergency cesarean
section. Anesthesia, Essays and Researches. 2010 Jul;4(2):115.
[15]. Nivatpumin, P, Lertkovit, S., 2024, Case report: Maternal cardiac arrest at 12 hours postpartum. Heliyon. 2024 Jan 15;10(1).