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Complete recovery after 2 h of cardiopulmonary resuscitation following high‐dose prostaglandin treatment for atonic uterine haemorrhage
Author(s) -
Krumnikl J. J.,
Böttiger B. W.,
Strittmatter H. J.,
Motsch J.
Publication year - 2002
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.2002.460920.x
Subject(s) - medicine , cardiopulmonary resuscitation , decompensation , anesthesia , resuscitation , ventricular fibrillation , return of spontaneous circulation , surgery , cardiology
We report the case of a 31‐year‐old woman who delivered twins by Caesarean section in whom atonic uterine haemorrhage developed 6 h postoperatively. During conservative treatment with the high‐dose prostaglandin analogs sulprostone (PGE 2 ) and dinoprost (PGF 2α ), acute pulmonary oedema and cardiac decompensation developed and, subsequently, the patient suffered cardiopulmonary arrest. After a 2h‐period of cardiopulmonary resuscitation (CPR), it was possible to restore and stabilize circulation under the highest dose of catecholamines. Despite 2h of CPR, the patient was discharged from hospital 3 months later without any major physical or neurocognitive deficit.