Open AccessSuccessful interhospital transfer for extracorporeal cardiopulmonary resuscitation of a patient who had a cardiac arrest after cesarean section
Author(s) -
Ijuin Shinichi,
Ishihara Satoshi,
Maemura Saki,
Fukushima Masafumi,
Murakami Atsushi,
Inoue Akihiko,
Taniguchi Yayoi,
Igarashi Nobuaki,
Matsuyama Shigenari,
Kawase Tetsunori,
Doi Tomofumi,
Nakayama Shinichi
Publication year - 2021
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.701
Subject(s) - medicine , extracorporeal membrane oxygenation , extracorporeal cardiopulmonary resuscitation , cardiopulmonary resuscitation , return of spontaneous circulation , resuscitation , extracorporeal circulation , anesthesia
Background Studies describing the effectiveness of extracorporeal cardiopulmonary resuscitation (ECPR) for peripartum cardiopulmonary arrest are lacking. Case Presentation A 39‐year‐old woman underwent elective cesarean section. Right after surgery, she fell into a cardiac arrest and was promptly transferred to our institute by ambulance. On arrival, we immediately initiated ECPR, within 63 min of the cardiac arrest. Return of spontaneous circulation was achieved 80 min after induction of extracorporeal membrane oxygenation. As the hemodynamics of the patient stabilized, extracorporeal membrane oxygenation was discontinued on day 3 of hospitalization. The patient’s cerebral performance category score was 3 at discharge, which improved to 2 after 3 months. Conclusion This case suggests that prompt interhospital transfer and ECPR might be effective for peripartum cardiac arrest due to nonhemorrhagic events.