GKD Anest Yoð Bak Dern Derg. 2016; 22(4): 131-137 | DOI: 10.5222/GKDAD.2016.131

Gebelikte Kardiyak Arrest Yönetimi

Berrin Günaydýn¹, Lawrence C Tsen^2
1Gazi Üniversitesi Týp Fakültesi Amesteziyoloji Ankara, Türkiye
²Harvard Üniversitesi Týp Fakültesi Birgham Kadýn Hastanesi Anesteziyoloji, Boston, ABD

Gebelerde tahmin edilen sýklýðý 20 000’de 1 olan kardiyopulmoner arrest, nadir gibi görünse de her an olabilir. Bu nedenle klinisyenler hýzla cevap vermeye hazýrlýklý olmalýdýr. Maternal resüsitasyon, gebeliðin anatomik ve fizyolojik deðiþikliklerine baðlý çok küçük ayarlamalarla gerçekleþtirilir. Anesteziyologlar, obstetrisyenler ve neanatologlar hem anne hem de yenidoðan için uygun tedaviyi saðlamak için takým olarak çalýþmalýdýrlar. Bu derleme makale, gebelikte kardiyak arrest yönetimini ve perimortem sezaryen kullanýmý sunmaktadýr.

Anahtar Kelimeler: Gebelik, Kardiyak arrest, Kardiyopulmoner Resüsitasyon (KPR)

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Management of Cardiac Arrest in Pregnancy

Berrin Günaydýn¹, Lawrence C Tsen^2
1Gazi University School of Medicine Department of Anesthesiology, Ankara, Turkey
²Harvard School of Medicine Brigham and Women's Hospital Department of Anesthesiology Boston, USA

Cardiopulmonary arrest, which is seemingly uncommon with an estimated incidence of 1 in 20,000 pregnant women, can occur at any time. Therefore, clinicians should be prepared to respond immediately. Maternal resuscitation is performed with only a few minor adjustments due to the anatomic and physiologic changes of pregnancy. Anesthesiologists, obstetricians and neonatologists should work as a team to ensure appropriate treatment of both mother and newborn. This review article will address the management of cardiac arrest in pregnancy and the use of perimortem cesarean delivery.

Keywords: Pregnancy, cardiac arrest, cardiopulmonary resuscitation (CPR)

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