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BJA Advance Access published online on June 26, 2009
British Journal of Anaesthesia, doi:10.1093/bja/aep176
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© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Cardiopulmonary arrest in pregnancy: two case reports of successful outcomes in association with perimortem Caesarean delivery

N. J. McDonnell*

Department of Anaesthesia and Pain Medicine, King Edward Memorial Hospital for Women, 374 Bagot Road, Subiaco, Western Australia 6008, Australia

* E-mail: nolan.mcdonnell{at}health.wa.gov.au

Cardiac arrest in pregnancy is a rare event in which the speed of the response and attention to a number of pregnancy-specific interventions is crucial to the outcome. The commencement of a perimortem Caesarean delivery within 4 min of the onset of the arrest has been recommended as a technique to potentially improve survival in both the mother and the fetus but presents significant logistical challenges to the health-care facility. In this report, we describe two cases of cardiac arrest in pregnancy in which a perimortem Caesarean was performed as part of the resuscitation process and was associated with excellent maternal and neonatal outcomes. We discuss some of the issues surrounding the performance of a perimortem Caesarean delivery that were relevant to this case, including experience from the training that is provided in our institution.

Keywords: anaesthesia, obstetric; education; heart, resuscitation; pharmacology, magnesium sulphate; pregnancy


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Cardiopulmonary arrest in pregnancy
Michael F James
British Journal of Anaesthesia, 2 Oct 2009 [Full text]
In response
Nolan J McDonnell
British Journal of Anaesthesia, 12 Oct 2009 [Full text]

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