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A 28-year-old patient (27 weeks gestation) was admitted to the intensive care unit for treatment of pneumonia-related sepsis. The patient goes into cardiac arrest. When should resuscitative cesarean delivery (RCD) be performed?

a) After 1 minute of unsuccessful resuscitation
b) After 5 minutes of unsuccessful resuscitation
c) Immediately upon cardiac arrest
d) After 10 minutes of unsuccessful resuscitation

Answer :

Final answer:

In the case of a pregnant patient undergoing cardiac arrest, a resuscitative cesarean delivery (RCD) is recommended after 5 minutes of unsuccessful resuscitation efforts to maximize survival chances for both the patient and fetus. The correct option is b.

Explanation:

In the medical field, especially in emergency and critical care, knowing the right time to perform interventions is crucial. In scenarios where a pregnant patient at or after 24 weeks of gestation experiences cardiac arrest, current recommendations suggest that if there is no return of spontaneous circulation (ROSC) with standard resuscitation efforts within 4-5 minutes, an RCD should be considered. This approach is aimed at improving outcomes not only for the patient but also for the fetus. Therefore, the most appropriate answer to when should resuscitative cesarean delivery (RCD) be performed is: b) After 5 minutes of unsuccessful resuscitation. This timeframe is crucial for maximizing the chances of survival and minimizing potential neurological damage for both the patient and the fetus.

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