Open AccessSuccessful resuscitation of the patient on extended tocolytic therapy subjected to an urgent cesarean section
Author(s) -
Biljana Đorđević,
Miloš P. Stojiljković,
Tanja Potpara,
Dragana Lončar-Stojiljković,
Ljiljana Vojvodić
Publication year - 2002
Publication title -
vojnosanitetski pregled
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 19
eISSN - 2406-0720
pISSN - 0042-8450
DOI - 10.2298/vsp0203325d
Subject(s) - medicine , ritodrine , adverse effect , resuscitation , anesthesia , pregnancy , gestation , genetics , biology
Ritodrine is the only medicament approved by FDA in the USA as well as in our country for prevention of the threatening preterm labor. Its adverse effects upon the respiratory and cardiovascular systems, including pulmonary oedema and myocardial ischemia, occur more frequently during the intravenous therapy than during the oral maintenance therapy. The aim of this report was to present a patient with cardiovascular adverse effects of ritodrine, who had her pregnancy terminated by an urgent cesarean section under general anesthesia. In the course of operation, the patient had two cardiac arrest (total of 70 min). Resuscitation was performed by direct and indirect heart massage. The patient's condition was stabilized during the next six hours. The patient was transferred to the coronary unit, where the treatment was continued for 30-days period, after which the patient was released home as completely recovered.