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Clinics and Practice
Volume 5
Issue 1
10.4081/cp.2015.668
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Essentials in Cardiac Arrest during Cesarean Section

by
Susan W.J.D. van Liempt
1,*,
Katrin Stoecklein
2,
Ming Y. Tjiong
1,
Lothar A. Schwarte
2,
Christianne J.M. de Groot
1 and
Pim W. Teunissen
1
1
Department of Obstetrics and Gynecology, VU University Medical Center, Amsterdam, The Netherlands
2
Department of Anesthesia, VU University Medical Center, Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(1), 668; https://doi.org/10.4081/cp.2015.668
Submission received: 2 June 2014 / Revised: 25 August 2014 / Accepted: 2 September 2014 / Published: 17 February 2015

Abstract

Cardiac arrest during cesarean section is very rare. Obstetrical teams have low exposure to these critical situations necessitating frequent rehearsal and knowledge of its differential diagnosis and treatment. A 40-year-old woman pregnant with triplets underwent cesarean sections because of vaginal bleeding due to a placenta previa at 35.2 weeks of gestation. Spinal anesthesia was performed. Asystole occurred during uterotomy. Immediate resuscitation and delivery of the neonates eventually resulted in good maternal and neonatal outcomes. The differential diagnosis is essential and should include obstetric and non-obstetric causes. We describe the consideration of Bezold Jarisch reflex and amniotic fluid embolism as most appropriate in this case.
Keywords: cardiac arrest; cesarean section; Bezold Jarisch reflex cardiac arrest; cesarean section; Bezold Jarisch reflex

Share and Cite

MDPI and ACS Style

van Liempt, S.W.J.D.; Stoecklein, K.; Tjiong, M.Y.; Schwarte, L.A.; de Groot, C.J.M.; Teunissen, P.W. Essentials in Cardiac Arrest during Cesarean Section. Clin. Pract. 2015, 5, 668. https://doi.org/10.4081/cp.2015.668

AMA Style

van Liempt SWJD, Stoecklein K, Tjiong MY, Schwarte LA, de Groot CJM, Teunissen PW. Essentials in Cardiac Arrest during Cesarean Section. Clinics and Practice. 2015; 5(1):668. https://doi.org/10.4081/cp.2015.668

Chicago/Turabian Style

van Liempt, Susan W.J.D., Katrin Stoecklein, Ming Y. Tjiong, Lothar A. Schwarte, Christianne J.M. de Groot, and Pim W. Teunissen. 2015. "Essentials in Cardiac Arrest during Cesarean Section" Clinics and Practice 5, no. 1: 668. https://doi.org/10.4081/cp.2015.668

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