| A report of fetal demise during therapeutic hypothermia after cardiac arrest. | |
| | |
MedLine Citation:
|
PMID: 20559755 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Therapeutic hypothermia is becoming the standard-of-care for coma following out-of-hospital cardiac arrest. Pregnancy has been considered a contraindication for therapeutic hypothermia. METHODS: Case report. RESULTS: A 44-year-old woman presented after a witnessed out-of-hospital ventricular fibrillation cardiac arrest. She remained comatose upon hospital admission and was treated with induced hypothermia via surface cooling pads. An intrauterine pregnancy of 20 weeks gestation was discovered on admission. One day after admission, a stillborn fetus was spontaneously delivered. The patient made a good neurologic recovery and now lives at home with her family. CONCLUSION: During pregnancy, beneficence toward the pregnant woman must be the primary ethical guideline in emergent, life-threatening situations. Pregnancy should not be a contraindication to therapeutic hypothermia following cardiac arrest. |
| | |
Authors:
|
Elissa Fory Wible; Joseph S Kass; George A Lopez |
Related Documents
:
|
20639475 - Pulse pressure and arterial compliance prior to pregnancy and the development of compli... 18695775 - Placental calcification in pseudoxanthoma elasticum. 11952965 - The sonographic approach to the detection of fetal cardiac anomalies in early pregnancy. 11192105 - Accuracy and limitations of transabdominal fetal echocardiography at 12-15 weeks of ges... 20388645 - Growth restriction in pregnancies of opioid-dependent mothers. 7004865 - Fertility impairment in females--present status. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Neurocritical care Volume: 13 ISSN: 1556-0961 ISO Abbreviation: Neurocrit Care Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-22 Completed Date: 2011-02-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: United States |
Other Details:
|
Languages: eng Pagination: 239-42 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Duke University Medical Center, DUMC Box 2900, Durham, NC 27710, USA. elissa.wible@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Fatal Outcome Female Heart Arrest / mortality* Humans Hypothermia, Induced / adverse effects, mortality* Pregnancy Stillbirth |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Strain-dependent carotenoid productions in metabolically engineered Escherichia coli.
Next Document: New Antituberculous Drugs in Development.