{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T02:50:37Z","timestamp":1706669437653},"reference-count":12,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T00:00:00Z","timestamp":1424131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Cardiac arrest during cesarean section is very rare. Obstetrical teams have low exposure to these critical situations necessitating frequent rehearsal and knowledge of its differential diagnosis and treatment. A 40-year-old woman pregnant with triplets underwent cesarean sections because of vaginal bleeding due to a placenta previa at 35.2 weeks of gestation. Spinal anesthesia was performed. Asystole occurred during uterotomy. Immediate resuscitation and delivery of the neonates eventually resulted in good maternal and neonatal outcomes. The differential diagnosis is essential and should include obstetric and non-obstetric causes. We describe the consideration of Bezold Jarisch reflex and amniotic fluid embolism as most appropriate in this case.<\/jats:p>","DOI":"10.4081\/cp.2015.668","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T15:26:12Z","timestamp":1424186772000},"page":"668","source":"Crossref","is-referenced-by-count":7,"title":["Essentials in Cardiac Arrest during Cesarean Section"],"prefix":"10.3390","volume":"5","author":[{"given":"Susan W.J.D.","family":"van Liempt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Stoecklein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming Y.","family":"Tjiong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lothar A.","family":"Schwarte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christianne J.M.","family":"de Groot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pim W.","family":"Teunissen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2015,2,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.suc.2007.12.006","article-title":"Trauma and surgical emergencies in the obstetric patient","volume":"88","author":"Hill","year":"2008","journal-title":"Surg Clin North Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1097\/00003081-200206000-00009","article-title":"Maternal cardiac arrest in pregnancy","volume":"45","author":"Whitty","year":"2002","journal-title":"Clin Obst and Gynaecol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s00414-013-0826-7","article-title":"Fatal postpartum air embolism due to uterine inversion and atonic haemorrhage","volume":"128","author":"Banaschak","year":"2014","journal-title":"Int J Legal Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00003081-199235020-00021","article-title":"Acute life-threatening emergencies in preeclampsia-eclampsia","volume":"35","author":"Barton","year":"1992","journal-title":"Clin Obst Gynaecol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2528","DOI":"10.1056\/NEJMcpc1201413","article-title":"Case 40-2012: A 43-year-old woman with cardiorespiratory arrest after cesarean section","volume":"376","author":"Ecker","year":"2012","journal-title":"N Engl J Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1097\/AOG.0b013e3181d9f629","article-title":"Incidence and risk factors for amniotic fluid embolism","volume":"115","author":"Knight","year":"2010","journal-title":"Obstet Gynaecol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1111\/j.1471-0528.2008.01713.x","article-title":"Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nationwide population-based study of 371 000 pregnancies","volume":"115","author":"Zwart","year":"2008","journal-title":"BJOG"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1093\/clinchem\/38.4.526","article-title":"Determining zinc coproporphyrin in maternal plasma - 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