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Maternal Cardiac Arrest
Maternal Cardiac Arrest
CARDIAC
ARREST
High
Neuraxial The innervation
paralyze the Sympathectomy
to the diaphragm
Block and diaphragm hypotension
is C3, C4, and C5
Hypotension
increased
Loss of increased decreased
edema and
Physiology of acidity of lower
Airway and pregnancy
friability of the
gastric esophageal
Aspiration oropharyngeal
contents sphincter tone
mucosa
respiratory
Respiratory
Depression OPIOID arrest and
apnea
Local Anesthetic Systemic Toxicity
Pregnancy sensitivity to local anesthetics
LAST induced cardiac toxicity resistant to conventional resuscitative
interventions.
B-Bleeding
Myocardial
Infarction
ICD
Implantation Aortic
in High-Risk Dissection
Patients
C
High-Risk Cardiovascular
Cardiac Cardio
Arrhythmia
Causes
myopathy
Substrate
Congenital Mechanical
Heart Valve
Disease Prostheses
hypotension
Oksitosin tachycardia
myocardial
ischemia
D
Drugs mild generalized
vasodilator
a tocolytic
Magnesium (depresses smooth
muscle contraction)
central nervous
system depressant.
• pulmonary vasospasm
Amniotic
• hypertension
Fluid
Embolism • right-sided heart failure --
later left-sided
increeased circulating
Myocardial ischemia
blood volume and
Cardiac arrest
hypoalbuminemia ARDS
H hypoxia,
hypovolemia,
hydrogen ion
(acidosis),
hypo/hyperkalemia
,hypothermia
G-
GENERAL
T toxins,
tamponade
(cardiac), tension
pneumothorax,thro
mbosis
(pulmonary), and
thrombosis
(coronary)
cerebral
hemorrhage;
hypoxia or
stroke;
H
Hypertension
thrombocytope
pulmonary
nia and DIC
edema
massive
hypoxia
hemorrhage
hepatic failure
or rupture
leading
profound
hemorrhage.