Cardiac arrest after Caesarean section under subarachnoid block

Area of Science:

• Anesthesiology
• Cardiology
• Obstetrics

Background:

• Subarachnoid block is a common anesthetic technique for Caesarean sections.
• Cardiac arrest is a rare but life-threatening complication associated with subarachnoid block.
• Understanding the pathophysiological mechanisms is crucial for prevention and management.

Observation:

• A patient experienced cardiac arrest in the recovery room following an emergency Caesarean section under subarachnoid block.
• The patient was successfully resuscitated without any adverse sequelae.
• This case highlights a critical event requiring immediate medical intervention.

Findings:

• The study reviews existing literature on cardiac arrest under subarachnoid block.
• Pathophysiological mechanisms contributing to cardiac arrest in this context are discussed.
• Severe bradycardia and hypotension are identified as significant contributing factors.

Implications:

• Early recognition and management of bradycardia and hypotension are vital.
• Prompt administration of adrenaline is recommended for treating these adverse events.
• This case underscores the importance of preparedness for managing critical events during subarachnoid anesthesia for Caesarean delivery.