Document Detail


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
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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
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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


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