Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report

We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with m...

Descripción completa

Detalles Bibliográficos
Autores principales: Brown, Hannah, Barrett, Helen L., Lee, Julie, Pincus, Jason M., Kimble, Rebecca M., Eley, Victoria A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862006/
https://www.ncbi.nlm.nih.gov/pubmed/29077660
http://dx.doi.org/10.1213/XAA.0000000000000662
_version_ 1783308159770689536
author Brown, Hannah
Barrett, Helen L.
Lee, Julie
Pincus, Jason M.
Kimble, Rebecca M.
Eley, Victoria A.
author_facet Brown, Hannah
Barrett, Helen L.
Lee, Julie
Pincus, Jason M.
Kimble, Rebecca M.
Eley, Victoria A.
author_sort Brown, Hannah
collection PubMed
description We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with massive hemorrhage. Blood product selection and volume replacement were guided by rotational thromboelastometry and transesophageal echocardiography, respectively. Correction of coagulopathy was observed clinically and confirmed by rotational thromboelastometry. The patient fully recovered without neurological deficit.
format Online
Article
Text
id pubmed-5862006
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Wolters Kluwer Health, Inc
record_format MEDLINE/PubMed
spelling pubmed-58620062018-03-28 Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report Brown, Hannah Barrett, Helen L. Lee, Julie Pincus, Jason M. Kimble, Rebecca M. Eley, Victoria A. A A Pract Case Reports We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with massive hemorrhage. Blood product selection and volume replacement were guided by rotational thromboelastometry and transesophageal echocardiography, respectively. Correction of coagulopathy was observed clinically and confirmed by rotational thromboelastometry. The patient fully recovered without neurological deficit. Wolters Kluwer Health, Inc 2018-03-15 2017-10-26 /pmc/articles/PMC5862006/ /pubmed/29077660 http://dx.doi.org/10.1213/XAA.0000000000000662 Text en Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Reports
Brown, Hannah
Barrett, Helen L.
Lee, Julie
Pincus, Jason M.
Kimble, Rebecca M.
Eley, Victoria A.
Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title_full Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title_fullStr Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title_full_unstemmed Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title_short Successful Resuscitation of Maternal Cardiac Arrest With Disseminated Intravascular Coagulation Guided by Rotational Thromboelastometry and Transesophageal Echocardiography: A Case Report
title_sort successful resuscitation of maternal cardiac arrest with disseminated intravascular coagulation guided by rotational thromboelastometry and transesophageal echocardiography: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862006/
https://www.ncbi.nlm.nih.gov/pubmed/29077660
http://dx.doi.org/10.1213/XAA.0000000000000662
work_keys_str_mv AT brownhannah successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport
AT barretthelenl successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport
AT leejulie successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport
AT pincusjasonm successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport
AT kimblerebeccam successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport
AT eleyvictoriaa successfulresuscitationofmaternalcardiacarrestwithdisseminatedintravascularcoagulationguidedbyrotationalthromboelastometryandtransesophagealechocardiographyacasereport

Ejemplares similares