Department of Maternal-Neonatal Care, DAIMI, Careggi University Hospital, Florence, Italy.
Department of Maternal Anesthesia, DAIMI, Careggi University Hospital, Florence, Italy.
J Matern Fetal Neonatal Med. 2020 Apr;33(8):1456-1458. doi: 10.1080/14767058.2018.1517321. Epub 2018 Sep 23.
Cardiac arrest in pregnancy is a rare event due to different cause. When it occurs after spinal anesthesia a cause that can explain this event is the Bezold-Jarish Reflex (BJR). A cardiac arrest occurs in a pregnant women after spinal anesthesia admistered for urgent caesarean section. During this event perimortem caesarean delivery (PMCD) is the rapid surgical way that can improve maternal and fetal outcomes. In this situation, it is very important to have a multidisciplinary team of midwives, obstetricians, anesthetists, neonatologists, intensivists that is able to perform perimortem caesarean delivery according to the guidelines.
妊娠期间心脏骤停较为罕见，病因也不尽相同。若该事件发生于椎管内麻醉后，贝佐尔德-贾里什反射（BJR）可能是病因之一。一名孕妇在接受紧急剖宫产的椎管内麻醉后发生心脏骤停。此时即刻剖宫产（PMCD）是一种快速的外科手术方法，可改善母婴结局。在此种情况下，多学科团队（助产士、产科医生、麻醉师、新生儿科医生、重症监护医生）的作用至关重要，他们需要根据指南施行即刻剖宫产。
