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Cardiac arrest during sulprostone administration – a case report
Author(s) -
LAMPATI L.,
COLANTONIO L. B.,
CALDERINI E.
Publication year - 2013
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 - 10.1111/aas.12022
Subject(s) - medicine , uterotonic , asystole , bradycardia , cardiopulmonary resuscitation , anesthesia , intensive care unit , resuscitation , pulseless electrical activity , complication , heart rate , oxytocin , blood pressure
Sulprostone, a synthetic prostaglandin analogue with potent uterotonic action, has been shown to have a low complication rate in a large series. We present a case of cardiac arrest in a parturient after C aesarean section during continuous infusion of intravenous sulprostone administered for atonic post‐partum haemorrhage. She had cardiopulmonary resuscitation for 25 min before spontaneous circulation returned. The sequence of events, the results of investigations carried out during the intensive care unit stay, and the presence of multiple cardiovascular risk factors, suggest that sulprostone caused coronary spasm, bradycardia, and subsequent asystole, similar to other cases described in the literature.