Perimortem caesarean section

@article{Parry2015PerimortemCS,
  title={Perimortem caesarean section},
  author={Richard Parry and Tilo Asmussen and Jason E. Smith},
  journal={Emergency Medicine Journal},
  year={2015},
  volume={33},
  pages={224 - 229}
}
This review describes a simple approach to perimortem caesarean section (PMCS) that can be used by a doctor in the resuscitation room or prehospital environment when faced with a mother of more than 20 weeks gestation in cardiac arrest. It explores the indications for and contraindications to the procedure, the physiological rationale behind it, equipment needed, technical aspects of the procedure and reviews recent literature on maternal and fetal outcomes. Like other uncommon procedures such… 
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10 Citations
Background Citations
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10 Citations

Perimortem Caesarean section because of a live fetus: case report and literature review
TLDR
A 22-year-old gravida 1 para 1 woman who had a convulsive loss of consciousness at 31 weeks’ gestation and a live fetus 1 h after maternal cardiac arrest and a rare hospital surgical event, PMCS is reported on.
Prehospital Perimortem Caesarean Section – A Survivor
  • M. Woods
  • Medicine
    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • 2019
TLDR
The emergent prehospital treatment of a 41-year-old woman pregnant with her first child of 30 weeks gestation is described, describing a case of maternal cardiac arrest, her resuscitation and the undertaking of a prehospital perimortem cesarean section resulting in a neurologically intact infant survivor.
Update: Focus in-hospital maternal cardiac arrest.
Cardiac Arrest in the Pregnant Patient
TLDR
The best chance for fetal survival is maternal survival, and interventions should not be withheld from the mother out of concern for the fetus.
Cardiac arrest in pregnancy: the perimortem cesarean section
TLDR
The bat phone rings, and through the static of the EMS patch, you hear that they are 2 minutes out with a 36-year-old woman in PEA, but you couldn't hear that last bit.
Resuscitation of the Pregnant Patient.
Optimizing Perimortem Cesarean Section Outcomes Using Simulation: A Technical Report
TLDR
A novel bi-phasic maternal cardiac arrest simulation that can be used to teach and train post-graduate year one emergency medicine and obstetrics and gynecology trainees in the use of perimortem cesarean sections (PMCS) prior to in-situ exposure.
Republication de : Arrêt cardiaque maternel
  • C. Fischer
  • Philosophy
    Journal Européen des Urgences et de Réanimation
  • 2019
Arrêt cardiaque maternel
  • C. Fischer
  • Philosophy
    Le Praticien en Anesthésie Réanimation
  • 2019
Out of Hospital Cardiac Arrest: A Current Review of the Literature that Informed the 2015 American Heart Association Guidelines Update
TLDR
The literature that informed the major changes to the guidelines is reviewed and a concise review of the current literature that informs how patients who suffer a cardiac arrest are cared for in the pre-hospital, emergency department and in-hospital environment is presented.

References

SHOWING 1-10 OF 37 REFERENCES
Perimortem cesarean delivery.
TLDR
The physiology of cardiopulmonary resuscitation during pregnancy is analyzed, and recent cases of maternal cardiac arrest with successful maternal resuscitation are reviewed, and data suggests that perimortem cesarean delivery initiated within four minutes of mothers cardiac arrest will yield the highest rates of maternal survival.
Perimortem cesarean delivery: its role in maternal mortality.
  • V. Katz
  • Medicine
    Seminars in perinatology
  • 2012
TLDR
Since Roman times, physicians have been instructed to perform postmortem cesarean deliveries to aid in funeral rites, baptism, and in the very slim chance that a live fetus might still be within the deceased mother's womb, but as births moved to hospitals, and modern obstetrics evolved, the likelihood of delivering a viable neonate at the time of a mother's death increased.
Perimortem cesarean delivery: were our assumptions correct?
Perimortem cesarean delivery 30 minutes after a laboring patient jumped from a fourth-floor window: baby survives and is normal at age 4 years.
Resuscitation in pregnancy
TLDR
Factors peculiar to pregnancy that weigh the balance against survival include anatomical changes that make it difficult to maintain a clear airway and perform intubation, pathological changes such as laryngeal oedema, physiological factors such as increased oxygen consumption, and an increased likelihood of pulmonary aspiration.
Part 10.8: Cardiac Arrest Associated With Pregnancy
TLDR
During attempted resuscitation of a pregnant woman, rescuers must provide appropriate resuscitation, with consideration of the physiologic changes due to pregnancy, for the critically ill patient who is pregnant.
THE MECHANICAL EFFECTS OF THE GRAVID UTERUS IN LATE PREGNANCY *
  • M. Kerr
  • Medicine
    The Journal of obstetrics and gynaecology of the British Commonwealth
  • 1965
TLDR
The substance of this lecture will be a consideration of the mechanical effects of the gravid uterus, as well as the ways by which the uterus can exert mechanical forces.
Factors associated with lower uterine segment thickness near term in women with previous caesarean section.
The physiology of cardiopulmonary resuscitation. An update.
TLDR
The basic technique of cardiopulmonary resuscitation has changed little since Kouwenhoven and colleagues introduced it in 1960, and recent studies have shown that patients suffering in-hospital cardiac arrest have a 14% to 24% chance of being discharged alive.
Development of a simple algorithm to guide the effective management of traumatic cardiac arrest.
...
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