Cardiopulmonary resuscitation in pregnancy: an integrative review
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Abstract
The objective of this study was to identify data of compliance in cardiac arrest during pregnancy. An integrative review of articles published between 2010 and 2015 in Portuguese, English and Spanish using the following descriptors: “Cardiac Arrest”; “Cardiopulmonary Resuscitation”; “Pregnant” and “Pregnancy” was perfeormed in the following databases: MEDLINE, LILACS, IBECS and CUMED. The gestational age ranged from 10 to 41 weeks, the most common etiologies of cardiopulmonary arrest were pulmonary embolism and trauma, the rhythms were ventricular fibrillation and pulseless electrical activity and the time in cardiac arrest ranged from 15 to 60 minutes. Treatment was cardiopulmonary resuscitation, intubation, administration of epinephrine and emergency cesarean section. The outcomes observed in more mothers and newborns were hospital discharge and good neurological status. In conclusion, specific care protocols can endorse and assist the team’s decision-making during cardiopulmonary resuscitation, increasing survival and decreasing neurological damage in these patients.
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