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Perimortem Cesarean Section

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1. Use of Tandem Perimortem Cesarean Section and Open-Chest Cardiac Massage in the Resuscitation of Peripartum Cardiomyopathy Cardiac Arrest. (PubMed)

Use of Tandem Perimortem Cesarean Section and Open-Chest Cardiac Massage in the Resuscitation of Peripartum Cardiomyopathy Cardiac Arrest. Cardiac arrest and resuscitation of the pregnant woman at gestational term is rare. Depending on the circumstances of cardiac arrest and its timing, options are limited for allowing successful resuscitation of both mother and neonate. Herein, we describe the use of tandem perimortem cesarean section and thoracotomy for open-chest cardiac massage in a young

2019 Annals of Emergency Medicine

2. Perimortem Cesarean Section

Perimortem Cesarean Section Perimortem Cesarean Section Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Perimortem Cesarean Section (...) Perimortem Cesarean Section Aka: Perimortem Cesarean Section , Perimortem C-Section , Emergency Hysterotomy II. Indications Maternal pulseless duration >4 minutes Failure of within 4 minutes despite maximal efforts High quality performed with uterine displacement Early with confirmed placement medications delivered via IV site above diaphragm level No other reversible etiologies identified Consider (see ) Consider inciting event (e.g. substances taken immediately prior to arrest) criteria <20 weeks

2018 FP Notebook

3. Cardiac arrest in pregnancy: the perimortem cesarean section

Cardiac arrest in pregnancy: the perimortem cesarean section Cardiac arrest in pregnancy: the perimortem c-section - First10EM Search Cardiac arrest in pregnancy: the perimortem c-section by | Published - Updated | Case The bat phone rings, and through the static of the EMS patch, you hear that they are 2 minutes out with a 36-year-old woman in PEA, but you couldn’t hear that last bit. After 3 more attempts (maybe you were in denial) you finally hear the word “pregnant” and now they are rolling (...) – bleeding E – embolism (PE or amniotic fluid) A – anaphylaxis/ anesthetic complications U – uterine atony C – cardiac H – hypertension/ HELLP O – others (see how mnemonics are silly) P – placental abruption S – sepsis Other FOAMed Resources for Perimortem C-section at on on from on Added may 2016: References Pope, Jennifer V. and Tibbles, Carrie D. (2012). The difficult emergency delivery. In: Winters, M.E. (Ed). Emergency Department Resuscitations of the Critically Ill. Dallas, Tx: ACEP. Part 10.8

2015 First10EM

4. Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest (PubMed)

Out-of-Hospital Perimortem Cesarean Section as Resuscitative Hysterotomy in Maternal Posttraumatic Cardiac Arrest The optimal treatment of a severe hemodynamic instability from shock to cardiac arrest in late term pregnant women is subject to ongoing studies. However, there is an increasing evidence that early "separation" between the mother and the foetus may increase the restoration of the hemodynamic status and, in the cardiac arrest setting, it may raise the likelihood of a return (...) of spontaneous circulation (ROSC) in the mother. This treatment, called Perimortem Cesarean Section (PMCS), is now termed as Resuscitative Hysterotomy (RH) to better address the issue of an early Cesarean section (C-section). This strategy is in contrast with the traditional treatment of cardiac arrest characterized by the maintenance of cardiopulmonary resuscitation (CPR) maneuvers without any emergent surgical intervention. We report the case of a prehospital perimortem delivery by Caesarean (C) section

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2014 Case Reports in Emergency Medicine

5. Perimortem cesarean section for maternal and fetal salvage: Concise review and protocol. (PubMed)

Perimortem cesarean section for maternal and fetal salvage: Concise review and protocol. Cardiopulmonary arrest is a rare event during pregnancy and labor. Perimortem cesarean section has been resorted to as a rare event since ancient times; however, greater awareness regarding this procedure within the medical community has only emerged in the past few decades. Current recommendations for maternal resuscitation include performance of the procedure after five minutes of unsuccessful (...) cardiopulmonary resuscitation. If accomplished in a timely manner, perimortem cesarean section can result in fetal salvage and is also critical for maternal resuscitation. Nevertheless, deficits in knowledge about this procedure are common. We have reviewed publications on perimortem cesarean section and present the most recent evidence on this topic, as well as recommending our "easy-to-access protocol" adapted for resuscitation following maternal collapse. © 2014 Nordic Federation of Societies of Obstetrics

2014 Acta Obstetricia et Gynecologica Scandinavica

6. Perimortem cesarean section: Three possible procedures to overcome atonic bleeding after successful resuscitation. (PubMed)

Perimortem cesarean section: Three possible procedures to overcome atonic bleeding after successful resuscitation. 25209107 2015 02 18 2018 12 02 1600-0412 94 1 2015 Jan Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Perimortem cesarean section: three possible procedures to overcome atonic bleeding after successful resuscitation. 121 10.1111/aogs.12501 Matsubara Shigeki S Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan. eng (...) Letter Comment 2014 09 30 United States Acta Obstet Gynecol Scand 0370343 0001-6349 IM Acta Obstet Gynecol Scand. 2014 Oct;93(10):965-72 25060654 Acta Obstet Gynecol Scand. 2014 Dec;93(12):1333 25244500 Cardiopulmonary Resuscitation methods Cesarean Section methods Female Heart Arrest therapy Humans Pregnancy Pregnancy Complications, Cardiovascular therapy 2014 9 12 6 0 2014 9 12 6 0 2015 2 19 6 0 ppublish 25209107 10.1111/aogs.12501

2014 Acta Obstetricia et Gynecologica Scandinavica

7. Perimortem cesarean section: Three possible procedures to overcome atonic bleeding after successful resuscitation - Authors' reply. (PubMed)

Perimortem cesarean section: Three possible procedures to overcome atonic bleeding after successful resuscitation - Authors' reply. 25244500 2015 01 15 2018 12 02 1600-0412 93 12 2014 Dec Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Perimortem cesarean section: three possible procedures to overcome atonic bleeding after successful resuscitation - Authors' reply. 1333 10.1111/aogs.12508 Drukker Lior L Department of Obstetrics and Gynecology, Shaare Zedek Medical Center (...) . Hants Yael Y Grisaru-Granovsky Sorina S eng Letter Comment 2014 10 10 United States Acta Obstet Gynecol Scand 0370343 0001-6349 IM Acta Obstet Gynecol Scand. 2014 Oct;93(10):965-72 25060654 Acta Obstet Gynecol Scand. 2015 Jan;94(1):121 25209107 Cardiopulmonary Resuscitation methods Cesarean Section methods Female Heart Arrest therapy Humans Pregnancy Pregnancy Complications, Cardiovascular therapy 2014 9 23 6 0 2014 9 23 6 0 2015 1 16 6 0 ppublish 25244500 10.1111/aogs.12508

2014 Acta Obstetricia et Gynecologica Scandinavica

8. Prehospital lifesaving surgical procedures such as resuscitative thoracotomy and perimortem cesarean section performed by non surgeons: unrealistic expectations?

Prehospital lifesaving surgical procedures such as resuscitative thoracotomy and perimortem cesarean section performed by non surgeons: unrealistic expectations? Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr

2017 PROSPERO

9. Perimortem Cesarean Delivery (Overview)

Updated: May 23, 2017 Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Nicole W Karjane, MD Share Email Print Feedback Close Sections Sections Perimortem Cesarean Delivery Overview Overview Background Cesarean delivery is one of the oldest surgical procedures in history, with literature dating back to at least 800 BCE. [ , , , ] Before the 20th century, however, the procedure was never undertaken unless the mother was dead or moribund. [ ] During the late 19th and early 20th (...) DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol . 1986 Oct. 68(4):571-6. . DePace NL, Betesh JS, Kotler MN. Postmortem' cesarean section with recovery of both mother and offspring. JAMA . 1982 Aug 27. 248(8):971-3. . Marx GF. Cardiopulmonary resuscitation of late-pregnant women. Anesthesiology . 1982 Feb. 56(2):156. . Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. National Vital Statistics Reports . Aug 2007. 55(19):102-3. Healy ME

2014 eMedicine.com

10. Perimortem Cesarean Delivery (Follow-up)

Updated: May 23, 2017 Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Nicole W Karjane, MD Share Email Print Feedback Close Sections Sections Perimortem Cesarean Delivery Overview Overview Background Cesarean delivery is one of the oldest surgical procedures in history, with literature dating back to at least 800 BCE. [ , , , ] Before the 20th century, however, the procedure was never undertaken unless the mother was dead or moribund. [ ] During the late 19th and early 20th (...) DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol . 1986 Oct. 68(4):571-6. . DePace NL, Betesh JS, Kotler MN. Postmortem' cesarean section with recovery of both mother and offspring. JAMA . 1982 Aug 27. 248(8):971-3. . Marx GF. Cardiopulmonary resuscitation of late-pregnant women. Anesthesiology . 1982 Feb. 56(2):156. . Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. National Vital Statistics Reports . Aug 2007. 55(19):102-3. Healy ME

2014 eMedicine.com

11. Perimortem Cesarean Delivery (Diagnosis)

Updated: May 23, 2017 Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Nicole W Karjane, MD Share Email Print Feedback Close Sections Sections Perimortem Cesarean Delivery Overview Overview Background Cesarean delivery is one of the oldest surgical procedures in history, with literature dating back to at least 800 BCE. [ , , , ] Before the 20th century, however, the procedure was never undertaken unless the mother was dead or moribund. [ ] During the late 19th and early 20th (...) DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol . 1986 Oct. 68(4):571-6. . DePace NL, Betesh JS, Kotler MN. Postmortem' cesarean section with recovery of both mother and offspring. JAMA . 1982 Aug 27. 248(8):971-3. . Marx GF. Cardiopulmonary resuscitation of late-pregnant women. Anesthesiology . 1982 Feb. 56(2):156. . Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. National Vital Statistics Reports . Aug 2007. 55(19):102-3. Healy ME

2014 eMedicine.com

12. Perimortem Cesarean Delivery (Treatment)

Updated: May 23, 2017 Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Nicole W Karjane, MD Share Email Print Feedback Close Sections Sections Perimortem Cesarean Delivery Overview Overview Background Cesarean delivery is one of the oldest surgical procedures in history, with literature dating back to at least 800 BCE. [ , , , ] Before the 20th century, however, the procedure was never undertaken unless the mother was dead or moribund. [ ] During the late 19th and early 20th (...) DJ, Droegemueller W. Perimortem cesarean delivery. Obstet Gynecol . 1986 Oct. 68(4):571-6. . DePace NL, Betesh JS, Kotler MN. Postmortem' cesarean section with recovery of both mother and offspring. JAMA . 1982 Aug 27. 248(8):971-3. . Marx GF. Cardiopulmonary resuscitation of late-pregnant women. Anesthesiology . 1982 Feb. 56(2):156. . Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. National Vital Statistics Reports . Aug 2007. 55(19):102-3. Healy ME

2014 eMedicine.com

13. Postmortem and Perimortem Cesarean Section: Historical, Religious and Ethical Considerations (PubMed)

Postmortem and Perimortem Cesarean Section: Historical, Religious and Ethical Considerations Guillimeau was the first to use the term cesarean section (CS) in 1598, but this name became universal only in the 20th century. The many theories of the origin of this name will be discussed. This surgery has been reported to be performed in all cultures dating to ancient times. In the past, it was mainly done to deliver a live baby from a dead mother, hence the name postmortem CS (PMCS). Many heroes (...) are reported to have been delivered this way. Old Jewish sacred books have made references to abdominal delivery. It was especially encouraged and often mandated in Catholicism. There is evidence that the operation was done in Muslim countries in the middle ages. Islamic rulings support the performance of PMCS. Now that most maternal deaths occur in the hospital, perimortem CS (PRMCS) is recommended for the delivery of a fetus after 24 weeks from a pregnant woman with cardiac arrest. It is believed

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2012 The Journal of IMA

14. Perimortem Cesarean Section

Perimortem Cesarean Section Perimortem Cesarean Section Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Perimortem Cesarean Section (...) Perimortem Cesarean Section Aka: Perimortem Cesarean Section , Perimortem C-Section , Emergency Hysterotomy II. Indications Maternal pulseless duration >4 minutes Failure of within 4 minutes despite maximal efforts High quality performed with uterine displacement Early with confirmed placement medications delivered via IV site above diaphragm level No other reversible etiologies identified Consider (see ) Consider inciting event (e.g. substances taken immediately prior to arrest) criteria <20 weeks

2015 FP Notebook

15. Elective caesarean section

Elective caesarean section Caesarean section - Wikipedia Caesarean section From Wikipedia, the free encyclopedia (Redirected from ) Caesarean section A team performing a caesarean section Other names C-section, cesarean section, caesarean delivery 10D00Z0 [ ] Caesarean section , also known as C-section , or caesarean delivery , is the use of to . A caesarean section is often necessary when a would put the baby or mother at risk. This may include , , in the mother, , or problems (...) in the death of the mother. [ ] It was long considered an extreme measure, performed only when the mother was already dead or considered to be beyond help. By way of comparison, see the or perimortem caesarean section. The mother of (born c. 320 BC, ruled 298 – c. 272 BC), the second Samrat ( ) of India, accidentally consumed poison and died when she was close to delivering him. , the Chandragupta's teacher and adviser, made up his mind that the baby should survive. He cut open the belly of the queen

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2012 Wikipedia

16. Caesarean section

Caesarean section Caesarean section - Wikipedia Caesarean section From Wikipedia, the free encyclopedia Caesarean section A team performing a caesarean section Other names C-section, cesarean section, caesarean delivery 10D00Z0 [ ] Caesarean section , also known as C-section , or caesarean delivery , is the use of to . A caesarean section is often necessary when a would put the baby or mother at risk. This may include , , in the mother, , or problems with the or . A caesarean delivery may (...) the mother was already dead or considered to be beyond help. By way of comparison, see the or perimortem caesarean section. The mother of (born c. 320 BC, ruled 298 – c. 272 BC), the second Samrat ( ) of India, accidentally consumed poison and died when she was close to delivering him. , the Chandragupta's teacher and adviser, made up his mind that the baby should survive. He cut open the belly of the queen and took out the baby, thus saving the baby's life. According to the ancient Chinese , Luzhong

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2012 Wikipedia

17. Management of Cardiovascular Diseases during Pregnancy

Haemodynamic monitoring during delivery 3180 3.8.7 Anaesthesia/analgesia 3180 3.8.8 Labour 3180 3.8.9 Perimortem caesarean section 3180 3.8.10 Post-partum care 3180 3.8.11 Breastfeeding 3180 3.9 Infective endocarditis 3180 3.9.1 Prophylaxis 3180 3.9.2 Diagnosis and risk assessment 3180 3.9.3 Treatment 3180 3.10 Methods of contraception and termination of pregnancy, and in vitro fertilization 3181 3.10.1 Methods of contraception 3181 3.10.2 Sterilization 3181 3.10.3 Methods of termination of pregnancy 3181 (...) 3.6.2 Assessing foetal wellbeing 3178 3.7 Interventions in the mother during pregnancy 3178 3.7.1 Percutaneous therapy 3178 3.7.2 Cardiac surgery with cardiopulmonary bypass 3178 3.8 Timing and mode of delivery: risk for mother and child 3179 3.8.1 Timing of delivery 3179 3.8.2 Labour induction 3179 3.8.3 Vaginal or caesarean delivery 3179 3.8.4 Delivery in anticoagulated women (not including mechanical valve; see section 5) 3179 3.8.5 Urgent delivery on therapeutic anticoagulation 3179 3.8.6

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2018 European Society of Cardiology

18. Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

undergo significant physiological alterations during pregnancy. The following sections highlight the physiological changes that have particular relevance to the management of gravidas with CHD. Antepartum Blood Volume Maternal blood volume begins to increase with the early hormonal changes of conception. Overall, pregnancy increases maternal blood volume by ≈40% for a singleton and 67% for twins, with peak values at ≈32 weeks of gestation , ( ). Both plasma volume and red cell mass contribute (...) within 6 months postpartum. Maternal blood loss in the first postpartum hour averages 600 mL for vaginal and 1000 mL for cesarean delivery. Excessive blood loss is associated with maternal tachycardia and decreased stroke volume. , Assessment and Evaluation Preconception Counseling and Diagnostic Evaluation Optimal preconception diagnostic cardiovascular evaluation should accurately assess an individual patient’s pregnancy risk and direct appropriate therapies to reduce risk. At present, risk

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2017 American Heart Association

19. Guidelines for the Management of a Pregnant Trauma Patient

with an evidence-based systematic approach to the pregnant trauma patient. Outcomes Significant health and economic outcomes considered in comparing alternative practices. Evidence Published literature was retrieved through searches of Medline, CINAHL, and The Cochrane Library from October 2007 to September 2013 using appropriate controlled vocabulary (e.g., pregnancy, Cesarean section, hypotension, domestic violence, shock) and key words (e.g., trauma, perimortem Cesarean, Kleihauer-Betke, supine hypotension

2015 Society of Obstetricians and Gynaecologists of Canada

20. The Acute Management of Thrombosis and Embolism during Pregnancy and the Puerperium

the on-call consultant obstetrician, who should decide on an individual basis whether a woman receives intravenous unfractionated heparin, thrombolytic therapy or thoracotomy and surgical embolectomy. Maternal resuscitation should commence following the principles of ABC and if cardiac arrest occurs, cardiopulmonary resuscitation should be performed with the woman in a left lateral tilt. A perimortem caesarean section should be performed by 5 minutes if resuscitation is unsuccessful and the pregnancy (...) Guideline No. 28) and the second edition was published in February 2007 and reviewed in 2010. Thromboprophylaxis during pregnancy and the puerperium is addressed in Green-top Guideline No. 37a. Executive summary of recommendations Diagnosis of acute venous thromboembolism (VTE) How is acute VTE diagnosed in pregnancy? Any woman with symptoms and/or signs suggestive of VTE should have objective testing performed expeditiously and treatment with low-molecular-weight heparin (LMWH) given (see section 6

2015 Royal College of Obstetricians and Gynaecologists

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