GEBEDE BEKLENMEYEN KARDİYAK ARREST VE HEDEFE YÖNELİK SICAKLIK YÖNETİMİ

Gebelikte tahmin edilen kardiyopulmoner arrest sıklığı yılda 30.000 hamilelikte 1 olarak görülmektedir. Gebede kardiyak arrest en zorlu durumlardan biridir. Erişkindeki kardiyopulmoner resüsitsyona benzer olmakla birlikte uygulamada bazı özellikli yanları vardır. Nadir görülüyor olmasına karşın hızlı hareket etmeyi gerektiren bir durumdur, çünkü aynı anda iki canlı tehlike altındadır. Kardiyopulmoner arrest gerçekleştiğinde yüksek kalitede başarılı kardiyopulmoner resüsitasyon (KPR), 4-5 dakika içinde infantın doğurtulması gereklidir. Bu olguda daha önceden bilinmeyen dilate kardiyomiyopatisi olan gebede, gebeliğin ağırlaştırdığı kalp yetersizliğine bağlı olarak litotomi pozisyonunda rutin gebelik muayenesi sırasında gelişen beklenmedik kardiyopulmoner arrestteki KPR yönetimi ve resüsitasyon sonrası dönemde uygulanan hedefe yönelik sıcaklık yönetiminden söz ettik.

Anahtar Kelimeler:

Gebelik, Kardiyak arrest, Hedefe yönelik sıcaklık yönetimi

UNEXPECTED CARDIAC ARREST IN PREGNANT PATIENT AND MANAGEMENT OF TARGETED TEMPERATURE MANAGEMENT

The estimated frequency of cardiopulmonary arrest during pregnancy is 1 in 30,000 pregnancies per year. Cardiac arrest in pregnancy is one of the most challenging situations. Although it is similar to cardiopulmonary resuscitation in adults, it has some peculiarities in practice. Although it is rare, it is a situation that requires quick action because two living things are in danger at the same time. When cardiopulmonary arrest occurs, high-quality successful cardiopulmonary resuscitation (CPR) requires delivery of the infant within 4-5 minutes. In this case, we mentioned about CPR management in unexpected cardiopulmonary arrest developed during routine pregnancy examination in the lithotomy position due to heart failure aggravated by pregnancy in a pregnant woman with previously unknown dilated cardiomyopathy and targeted temperature management in the post-resuscitation period.

Keywords:

Pregnancy, Cardiac arrest, Targeted temperature management,

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