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The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Management of Cardiac Arrest in Pregnancy

Lipman, Steven MD*; Cohen, Sheila MB, ChB, FRCA*; Einav, Sharon MD; Jeejeebhoy, Farida MD, FRCPC, FACC; Mhyre, Jill M. MD§; Morrison, Laurie J. MD, MSc, FRCPC; Katz, Vern MD; Tsen, Lawrence C. MD#; Daniels, Kay MD**; Halamek, Louis P. MD, FAAP††; Suresh, Maya S. MD‡‡; Arafeh, Julie RN, MSN§§; Gauthier, Dodi M.Ed, RNC-OB, C-EFM‖‖; Carvalho, Jose C. A. MD, PhD, FANZCA, FRCPC¶¶; Druzin, Maurice MB, BCh**; Carvalho, Brendan MBBCh, FRCA*

doi: 10.1213/ANE.0000000000000171
Obstetric Anesthesiology: Special Article

This consensus statement was commissioned in 2012 by the Board of Directors of the Society for Obstetric Anesthesia and Perinatology to improve maternal resuscitation by providing health care providers critical information (including point-of-care checklists) and operational strategies relevant to maternal cardiac arrest. The recommendations in this statement were designed to address the challenges of an actual event by emphasizing health care provider education, behavioral/communication strategies, latent systems errors, and periodic testing of performance. This statement also expands on, interprets, and discusses controversial aspects of material covered in the American Heart Association 2010 guidelines.

From the *Department of Anesthesia, Stanford University School of Medicine, Stanford, California; Surgical Intensive Care Unit, Shaare Zedek Medical Centre, Jerusalem, Israel; Department of Cardiology, University of Toronto, Toronto, Canada; §Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Rescu, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto Ontario Canada; Department of Obstetrics and Gynecology, Oregon Health & Science University, Springfield, Oregon; #Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts; **Department of Obstetrics and Gynecology, Stanford University School of Medicine; ††Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Stanford, California; ‡‡Department of Anesthesiology, Baylor College of Medicine, Houston, Texas; §§Center for Advanced Pediatric and Perinatal Education, Lucile Packard Children’s Hospital at Stanford University, Stanford; ‖‖Santa Barbara Cottage Hospital, Santa Barbara, California; and ¶¶Department of Anesthesia, University of Toronto, Toronto, Canada.

Funding: No funding received.

Conflicts of Interest: See Disclosures at the end of the article.

Reprints will not be available from the authors.

Address correspondence to Brendan Carvalho, MBBCh, FRCA, Department of Anesthesia, Stanford University School of Medicine, 300 Pasteur Dr., Stanford, CA 94305. Address e-mail to

© 2014 International Anesthesia Research Society