A report of fetal demise during therapeutic hypothermia after cardiac arrest

Elissa Fory Wible, Joseph S. Kass, George A. Lopez

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Background: Therapeutic hypothermia is becoming the standard-of-care for coma following out-of-hospital cardiac arrest. Pregnancy has been considered a contraindication for therapeutic hypothermia. Methods: Case report. Results: A 44-year-old woman presented after a witnessed out-of-hospital ventricular fibrillation cardiac arrest. She remained comatose upon hospital admission and was treated with induced hypothermia via surface cooling pads. An intrauterine pregnancy of 20 weeks gestation was discovered on admission. One day after admission, a stillborn fetus was spontaneously delivered. The patient made a good neurologic recovery and now lives at home with her family. Conclusion: During pregnancy, beneficence toward the pregnant woman must be the primary ethical guideline in emergent, life-threatening situations. Pregnancy should not be a contraindication to therapeutic hypothermia following cardiac arrest.

Original languageEnglish
Pages (from-to)239-242
Number of pages4
JournalNeurocritical Care
Volume13
Issue number2
DOIs
StatePublished - Oct 2010
Externally publishedYes

Keywords

  • Cardiopulmonary resuscitation
  • Fetal demise
  • Hypoxic-ischemic encephalopathy
  • Induced hypothermia
  • Pregnancy
  • Stillbirth
  • Sudden cardiac death

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