Re: OB: Post-mortem C/S

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Nov 22 12:39:07 2005


I absolutely thought the same, i.e. CPR is marginally effective without a gravid, term uterus.

Garry

At Wed, 23 Nov 2005, Peter Wein wrote: >
>It is hardly ever worthwhile in fetal interests unless you are there when
>the arrest happens and can do it straight away. It is part of CPR near
>term because it is very hard do get good cardiac output with a full
>uterus.
>
>--
>Peter Wein
>
>> I was called to the ER this weekend for a term patient en route who had
>> a full cardio-pulmonary arrest, 8 1/2 months, and undergoing CPR.
>>
>> On arrival, she was dead, and had been undergoing CPR and been "down"
>> (their terminology) for an hour. FHTs were absent by ultrasound upon
>> admission, so I did not do a C/S.
>>
>> I couldn't really find anything in a medline about how much time one
>> really has in these circumstances to begin a section.
>>
>> Any thoughts welcome.
>>
>> Garry
>>
>> --
>> Garry E. Siegel, M.D.
>> Private Practice
>> Roswell, GA
>>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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