Nhân một trường hợp cấp cứu thành công ngừng tuần hoàn sau gây mê trên sản phụ tiền sản giật nhiễm Covid-19

Describe the clinical and subclinical developments of pregnant women infected with Covid-19 before, during, and after cardiopulmonary resuscitation after endotracheal anesthesia and describe the results of resuscitation treatment for disorders after cardiac arrest in this patient. Method: Report on a clinical case of a pregnant woman infected with Covid-19 who underwent an emergency cesarean section with general anesthesia at the negative pressure operating room, Department of Anesthesiology and Resuscitation at Duc Giang General Hospital. She was diagnosed with: Cardiac arrest due to severe acute respiratory failure due to acute pulmonary edema / 1st pregnancy in 38 weeks, and elderly mother with critical Covid-19 infection / severe pre-eclampsia. Results: A 41-year-old female patient with first-time pregnancy in 38 weeks was admitted to the hospital with severe dyspnea, labored breathing, respiratory rate 40-50 times/minute, SpO2 65% (oxygen mask 10 liters/minute), blood pressure systolic 220-230 mmHg, positive Covid-19 rapid test. The patient was indicated endotracheal anesthesia for an emergency cesarean section. During the time of skin incision, the pulse was sporadic 30-35 times/minute on monitoring, the carotid pulse could not be captured, the blood pressure could not be measured, the SpO2 could not be captured, and the lips and limbs were cold, and the endotracheal tube was filled with pink fluid. Definitive diagnosis: Cardiac arrest due to severe acute respiratory failure due to acute pulmonary edema/ critical Covid-19; immediately, we performed cardiopulmonary resuscitation, quickly delivered the baby, and resuscitated the newborn. The patient was stabilized and discharged after 11 days of treatment at the Anesthesia and Resuscitation Department - Duc Giang General Hospital, the newborn was transferred to the National Children's Hospital and was discharged stably after 15 days of treatment.