Korean J Crit Care Med.  2016 Nov;31(4):359-363. 10.4266/kjccm.2016.00325.

Successful Hysterectomy and Therapeutic Hypothermia Following Cardiac Arrest due to Postpartum Hemorrhage

• Lee KH
• Choi SJ
• Jeon YG
• Kim RK
• Um DJ

• KMID: 2371192
• DOI: http://doi.org/10.4266/kjccm.2016.00325

Abstract

Postpartum hemorrhage is a common cause of maternal mortality; its main cause is placenta accreta. Therapeutic hypothermia is a generally accepted means of improving clinical signs in postcardiopulmonary resuscitation patients. A 41-year-old pregnant woman underwent a cesarean section under general anesthesia at 37 weeks of gestation. After the cesarean section, the patient experienced massive postpartum bleeding, which led to cardiac arrest. Once spontaneous circulation returned, the patient underwent an emergency hysterectomy and was placed under therapeutic hypothermia management. The patient recovered without neurological complications.

Keyword

cardiac arrest; hypothermia; placenta accreta; postpartum hemorrhage

MeSH Terms

Adult
Anesthesia, General
Cesarean Section
Emergencies
Female
Heart Arrest*
Hemorrhage
Humans
Hypothermia
Hypothermia, Induced*
Hysterectomy*
Maternal Mortality
Placenta Accreta
Postpartum Hemorrhage*
Postpartum Period*
Pregnancy
Pregnant Women
Resuscitation

Reference

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