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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 06

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Ginecol Obstet Mex 2023; 91 (06)

Cardiopulmonary and brain resuscitation during pregnancy. Narrative review

Auqui-Valarezo SV, Hernández-Pacheco JA, Nares-Torices MÁ, Mota-Calzada J, Rangel-Vargas UE

Language: Spanish
References: 25
Page: 417-431
PDF size: 382.48 Kb.


ABSTRACT

Background: Cardiopulmonary resuscitation accounts for 1% to 2% of intensive care unit admissions. In 2018, 17.4 per 1000 US pregnant patients requiring cardiopulmonary resuscitation were admitted to intensive care units, with mortality of 52% after the first postpartum day.
Objective: To provide essential concepts of cardiopulmonary resuscitation, causes of maternal cardiac arrest and to disseminate algorithms of care and response after activation of a code for probable emergency cesarean section within four minutes after cardiorespiratory arrest, in case of failure to return to spontaneous circulation. The aim is to increase the quality of health care and reduce maternal mortality rates.
Methodology: First stage: search in PubMed of articles not older than five years, published in English or Spanish, Clinical Practice Guidelines of Clinical Perinatology systematic reviews, and meta-analyses. Second stage: search algorithm ("cardiopulmonary resuscitation "[MeSH-Terms] AND "pregnancy" [MeSH-Terms]) AND ((y_5[Filter]) AND (systematic creview[Filter]) AND (english [Filter]) OR spanish [Filter])).
Results: Thirty-five articles or web pages were collected from which 19 were selected, including 3 textbooks related to the topic and 3 governmental web pages. In addition, other articles were analyzed to complement knowledge of the topic.
Conclusions: Recognition of maternal collapse and timely response by health care personnel will enable high-quality cardiopulmonary resuscitation; therefore, training of health care personnel should be encouraged.


REFERENCES

  1. Kidson KM, Lapinsky S, Grewal J. A detailed review of criticalcare considerations for the pregnant cardiac patient.Can J Cardiol 2021; 37 (12): 1979-2000. http://dx.doi.org/10.1016/j.cjca.2021.08.020.

  2. Beckett VA, Knight M, Sharpe P. The CAPS study: Incidence,management and outcomes of cardiac arrest in pregnancyin the UK: A prospective, descriptive study: Incidence,management and outcomes of cardiac arrest in pregnancyin the UK. Obstet Anesth Dig 2018; 38 (2): 61-62. http://dx.doi.org/10.1097/01.aoa.0000532251.31269.b3

  3. Mendoza S, Hernández J,Estrada A, Nares M, et al. Instrumentode una Guía de Práctica Clínica INPer: Protocolo dediagnóstico y tratamiento en reanimación cardiopulmonardurante el embarazo. Perinatol Reprod Hum 2013; 27 (1):35-43. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0187-53372013000100005&lng=es

  4. Declercq E, Zephyrin L. Maternal mortality in the UnitedStates: A primer. Commonwealth Fund, 2020. https://www.commonwealthfund.org/sites/default/files/2020-12/Declercq_maternal_mortality_primer_db.pdf

  5. Boletines. Observatorio de Mortalidad Materna. Observatoriode mortalidad materna en México, 2019. https://omm.org.mx/sistema-de-indicadores/boletines/

  6. Enomoto N, Yamashita T, Furuta M, Tanaka H, et al. Effectof maternal positioning during cardiopulmonary resuscitation:a systematic review and meta-analyses. BMCPregnancy Childbirth 2022; 22 (1): 159. http://dx.doi.org/10.1186/s12884-021-04334-y.

  7. Chu J, Johnston TA, Geoghegan J, Royal College of Obstetriciansand Gynaecologists. Maternal collapse in pregnancyand the puerperium: Green-top guideline no. 56. BJOG2020; 127 (5): e14-52. http://dx.doi.org/10.1111/1471-0528.15995

  8. Christine A, Sauer W. Colapso cardiovascular, paro y muertecardiaca súbita. In: Hill M, editor. Harrison Principios deMedicina Interna. 21 ed, 2018. https://accessmedicina.mhmedical.com/book.aspx?bookID=3118.

  9. American Heart Association. Aspectos Destacados de lasGuías de la AMERICAN HEART ASSOCIATION del 2020 PARARCP Y ACE [Internet]. Dallas, Texas: American Heart Association,2020. https://cpr.heart.org/-/media/CPR-Files/CPRGuidelines-Files/Highlights/Hghlghts_2020ECCGuidelines_Spanish.pdf

  10. Fischer C, Bonnet MP, Girault A, Le Ray C. Update: Focusin-hospital maternal cardiac arrest. J Gynecol Obstet HumReprod 2019; 48 (5): 309-14. http://dx.doi.org/10.1016/j.jogoh.2019.02.007

  11. Kikuchi J, Deering S. Cardiac arrest in pregnancy. SeminPerinatol 2018; 42 (1): 33-8. http://dx.doi.org/10.1053/j.semperi.2017.11.007

  12. American Heart Association. Soporte Vital CardiovascularAvanzado. Dallas, Texas: Orora Visual; 2015. https://viaaerearcp.files.wordpress.com/2019/08/manual-delproveedor-acls_2015_libro_completo.pdf

  13. Zelop CM, Einav S, Mhyre JM, Martin S. Cardiac arrest duringpregnancy: ongoing clinical conundrum. Am J ObstetGynecol 2018; 219 (1): 52-61. http://dx.doi.org/10.1016/j.ajog.2017.12.232.

  14. Lott C, Truhlár A. Cardiac arrest in special circumstances.Curr Opin Crit Care. 2021; 27 (6): 642-48. http://dx.doi.org/10.1097/MCC.0000000000000876

  15. Helviz Y, Einav S. Maternal cardiac arrest. Curr OpinAnaesthesiol 2019; 32 (3): 298-306. http://dx.doi.org/10.1097/ACO.0000000000000719

  16. Soskin PN, Yu J. Resuscitation of the pregnant patient.Emerg Med Clin North Am 2019; 37 (2): 351-63. http://dx.doi.org/10.1016/j.emc.2019.01.011

  17. Committee on Trauma. Advanced Trauma Life Support.Chicago, IL: American College of Surgeons, 2018. https://cirugia.facmed.unam.mx/wp-content/uploads/2018/07/Advanced-Trauma-Life-Support.pdf

  18. Soar J. Epinephrine for cardiac arrest: knowns, unknownsand controversies: Knowns, unknowns and controversies.Curr Opin Crit Care 2020; 26 (6): 590-95. http://dx.doi.org/10.1097/MCC.0000000000000763

  19. Welbourn C, Efstathiou N. How does the length of cardiopulmonaryresuscitation affect brain damage in patientssurviving cardiac arrest? A systematic review. Scand JTrauma Resusc Emerg Med 2018; 26 (1): 77. http://dx.doi.org/10.1186/s13049-018-0476-3

  20. Chu JJ, Hinshaw K, Paterson-Brown S, Johnston T,et al. Perimortemcaesarean section - why, when and how. Obstet Gynaecol2018; 20 (3): 151-58. http://dx.doi.org/10.1111/tog.12493

  21. Balki M, Liu S, León JA, Baghirzada L. Epidemiology of cardiacarrest during hospitalization for delivery in Canada:A nationwide study. Anesth Analg 2017; 124 (3): 890-7.http://dx.doi.org/10.1213/ANE.0000000000001877

  22. Dan G-A, Martinez-Rubio A, Agewall S, Boriani G, et al. Antiarrhythmicdrugs–clinical use and clinical decision making:a consensus document from the European Heart RhythmAssociation (EHRA) and European Society of Cardiology(ESC) Working Group on Cardiovascular Pharmacology,endorsed by the Heart Rhythm Society (HRS), Asia-PacificHeart Rhythm Society (APHRS) and International Society ofCardiovascular Pharmacotherapy (ISCP). Europace 2018; 20(5): 731-32. http://dx.doi.org/10.1093/europace/eux373.

  23. Information on COVID-19 treatment, prevention andresearch. COVID-19 Treatment Guidelines. https://www.covid19treatmentguidelines.nih.gov/.

  24. Welbourn C, Efstathiou N. How does the length of cardiopulmonaryresuscitation affect brain damage in patientssurviving cardiac arrest? A systematic review. Scand JTrauma Resusc Emerg Med 2018; 26 (1): 77. http://dx.doi.org/10.1186/s13049-018-0476-3

  25. Brooks SC, Anderson ML, Bruder E, Daya MR, et al. Part6: Alternative techniques and ancillary devices for cardiopulmonaryresuscitation: 2015 American heart associationguidelines update for cardiopulmonary resuscitation andemergency cardiovascular care: 2015 American heart associationguidelines update for cardiopulmonary resuscitationand emergency cardiovascular care. Circulation 2015;132 (18 Suppl 2): S436-43. http://dx.doi.org/10.1161/CIR.0000000000000260




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