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- Title
Código azul, histerotomía de reanimación en embarazo de término: reporte de un caso.
- Authors
Guadalupe Cuesta-Galindo, Mayela; Ruvalcaba-Carrillo, Roberto; Manuel Colín-Cortes, Héctor; Oswaldo Yáñez-Torres, José de Jesús; Oswaldo Camarillo-Contreras, Omar; Ely Bravo-Aguirre, Daniel
- Abstract
BACKGROUND: Cardiorespiratory arrest during pregnancy is a rare event that occurs in 1 in 12,500 to 30,000 pregnancies, with a survival rate of 17-59%. CLINICAL CASE: We report the case of a 23-year-old female patient, late-term pregnancy and labor. During labor conduction and after spinal analgesia, she presented cardiorespiratory arrest. After the start of basic resuscitation maneuvers, monitoring, and confirmed asystole, advanced maneuvers were started, culminating at 4 minutes with resuscitation hysterotomy and a subsequent spontaneous return of circulation. The patient required immediate post-arrest cares with follow-up and management in the intensive obstetric care unit for one month, after which the patient was discharged with minimal compromise of her superior mental functions; after 3 months of out clinic follow-up, the patient was healthy and her superior functions deemed to have been fully restored. CONCLUSIONS: Due to the ethical implications and characteristics of the pathology, there are no experimental models to establish measures during cardiopulmonary resuscitation in pregnancy, they are developed based on the review of clinical cases and the study of cardiovascular physiology during pregnancy. In this case report, we conclude that adhering to the established recommendations were associated with a good outcome and prognosis for both mother and child.
- Subjects
CARDIOPULMONARY system; CARDIAC arrest; PREGNANCY; OBSTETRICAL analgesia; CARDIOPULMONARY resuscitation; CARDIOVASCULAR system physiology; INTENSIVE care units; PROGNOSIS
- Publication
Ginecología y Obstetricia de México, 2020, Vol 88, Issue 10, p700
- ISSN
0300-9041
- Publication type
Article
- DOI
10.24245/gom.v88i10.3451