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Acta Anaesthesiol Scand · Oct 2002
Case ReportsComplete recovery after 2 h of cardiopulmonary resuscitation following high-dose prostaglandin treatment for atonic uterine haemorrhage.
- J J Krumnikl, B W Böttiger, H J Strittmatter, and J Motsch.
- Departments of Anaesthesiology and Gynaecology, University of Heidelberg, Heidelberg, Germany. Jakub_Krumnikl@med.uni-heidelberg.de
- Acta Anaesthesiol Scand. 2002 Oct 1;46(9):1168-70.
AbstractWe 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(2alpha)), 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.
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