It is always interesting to see what personality types are attracted to different fields. Anesthesia providers always strike me as somewhat-quirky, tech-savy and more commonly...humble. If glory and ego boosting are your game then anesthesia is not for you. It is always something I found "nice" about the specialty. When I do everything right, nobody usually knows except me. Out of Colorado comes further proof to my thesis:
From ABC News website:
In what is being hailed as a Christmas "miracle," a young mother died during labor with a still-born baby on Christmas Eve but both mom and baby came back to life just minutes later, before the eyes of the nearly heartbroken, stunned father.
They were getting ready to put a catheter in and I closed my eyes and don't remember anything after that," Tracey said.
She had no pulse, no heartbeat, was not breathing and was turning "gray," Dr. Stephanie Martin, director of maternal fetal medicine at Colorado's Memorial Hospital, told CBS News' Colorado affiliate KKTV. "She was dead."
After trying to revive Tracey for several minutes to no avail, doctors ordered an emergency C-section with no anesthesia in an attempt to save the baby. The baby was delivered, but it too was not breathing.
But then Mike and the doctors were astounded when Tracey's pulse returned, just after birth. Doctors quickly wheeled Tracey into surgery to complete the C-section. Then, while the mom was being operated on, other doctors worked to get the baby breathing again and eventually it came back as well.
Not sure what type of catheter. The epidural kind perhaps? Either way, no mention of anesthesia except the lack of it during the asystolic c-section. Whatever the case, most emergency obstetric situations are rarely (if ever) handled by the obstetric team alone. Kudos on the save to all involved, anesthesia and otherwise.



3 comments:
I have read conflicting stories. One suggests that an epidural catheter was placed. If it was placed was it injected? The symptoms and time course seem similar to intravenous local anesthesia related cardiac arrest. Or it just have been a prolonged vagally mediated sinus arrest?
We need a follow up to this story! Was the arrest immediately after epidural anesthesia? If so, was her arrest due to intravascular injection, sympathetic blockade or some other cause? If intravascular injection was the culprit, were intralipids used as part of the resuscitation technique? Inquiring minds want to know!
There may well be another reason for the anesthesia provider's low profile in this case besides his humility. It's initials are CYA.
Seems to have occured right after her epidural- "Hours passed with little excitement so after receiving an epidural Tracy said she decided to take a nap. That is when Mike said the nightmare started..." http://despardes.com/?p=12023
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