Document Detail

Successful outcome utilizing hypothermia after cardiac arrest in pregnancy: a case report.
MedLine Citation:
PMID:  18379264     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To date, pregnancy has been considered a contraindication to the use of therapeutic hypothermia after cardiac arrest. CASE: We present the case of a 35-yr-old woman, 13 wks pregnant, who had a witnessed out-of-hospital ventricular fibrillation cardiac arrest. She was resuscitated by prehospital personnel yet remained comatose at arrival to the hospital. Therapeutic cooling (33 degrees C) was initiated for 24 hrs, and she was discharged home with mild neurologic deficit (Cerebral Performance Category 2) on hospital day 6. The infant was delivered via cesarean section at 39 wks' gestation. Apgar scores were 8 and 9, and neurodevelopmental testing was appropriate for age at birth and at 2 months. CONCLUSION: This is the first case of therapeutic hypothermia applied to postarrest care of a pregnant woman followed by a successful delivery. This therapy should be considered in pregnant patients with cardiac arrest.
Jon C Rittenberger; Elizabeth Kelly; David Jang; Kenneth Greer; Alan Heffner
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Critical care medicine     Volume:  36     ISSN:  1530-0293     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-01     Completed Date:  2008-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1354-6     Citation Subset:  AIM; IM    
University of Pittsburgh Department of Emergency Medicine, Pittsburgh, PA, USA.
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MeSH Terms
Electric Countershock
Heart Arrest / therapy*
Hypothermia, Induced*
Infant, Newborn
Pregnancy Complications, Cardiovascular / therapy*
Pregnancy Outcome
Grant Support
1 KL2 RR024154-02/RR/NCRR NIH HHS; 5 T32 HL007820-0/HL/NHLBI NIH HHS

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