Journal article
The association of obstetric anesthesiologists, India - An expert committee consensus statement and recommendations for the management of maternal cardiac arrest
Journal of obstetric anaesthesia and critical care, Vol.12(2), pp.85-93
07/01/2022
DOI: 10.4103/JOACC.JOACC_44_22
Abstract
Maternal cardiac arrest (MCA) requires a multidisciplinary team well versed in the cascade of steps involved during resuscitation. Historically, maternal outcomes were poor, primarily because cardiac arrest management in pregnant women was neither optimum nor standardized. However, current evidence has shown better maternal survival given the young age and reversible causes of death. There are specific interventions such as manual left uterine displacement (MLUD) for relief of aortocaval compression that, if not performed, may undermine the success of resuscitation. The team should simultaneously explore the etiology of MCA, which could be a combination of pregnancy-related causes and comorbid conditions. Resuscitative Hysterotomy or Resuscitative Uterine Interventions (RUI) should be considered if there is no return of spontaneous circulation following 4-5 min of cardiopulmonary resuscitation. Teamwork is critical to success in the high-stakes environment of MCA. This consensus statement was prepared by the experts after reviewing evidence-based literature on maternal resuscitation during MCA.
Details
- Title: Subtitle
- The association of obstetric anesthesiologists, India - An expert committee consensus statement and recommendations for the management of maternal cardiac arrest
- Creators
- Sunil T. Pandya - Fernandez HospitalKajal Jain - Post Graduate Institute of Medical Education and ResearchAnju Grewal - Dayanand Medical College & HospitalKetan S. Parikh - Breach Candy HospitalKaruna Sharma - Rabindranath Tagore Medical CollegeAnjeleena K. Gupta - Sir Ganga Ram HospitalShilpa Kasodekar - P. D. Hinduja Hospital and Medical Research CentreAruna Parameswari - Sri Ramachandra Institute of Higher Education and ResearchDaisy Gogoi - Pratiksha Hosp, Dept Anesthesia & Perioperat Care, Gauhati, IndiaLalit K. Raiger - Government Medical CollegeGonibeed Lakshminarayana Rao Ravindrall - Janani Anesthesia & Crit Care Serv, Shimoga, Karnataka, IndiaSunanda Gupta - Rabindranath Tagore Medical CollegeAnjan Trikha - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Journal of obstetric anaesthesia and critical care, Vol.12(2), pp.85-93
- DOI
- 10.4103/JOACC.JOACC_44_22
- ISSN
- 2249-4472
- eISSN
- 2249-9539
- Publisher
- Wolters Kluwer Medknow Publications
- Number of pages
- 9
- Language
- English
- Date published
- 07/01/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984958340102771
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