Intravenous infusion route in maternal resuscitation: a scoping review

Abstract Background The concept that upper extremities can be used as an infusion route during cardiopulmonary resuscitation in pregnant women is a reasonable recommendation considering the characteristic circulation of pregnant women; however, this method is not based on scientific evidence. Object...

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Autores principales:	Eishin Nakamura, Shinji Takahashi, Shigetaka Matsunaga, Hiroaki Tanaka, Marie Furuta, Atsushi Sakurai, the Japan Resuscitation Council (JRC), Guideline Editorial Committee
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Cardiopulmonary resuscitation Pregnancy Resuscitation Intravenous infusion Scoping review Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/6b5522f7779a47a08dfe0db4f52a54c6
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spelling	oai:doaj.org-article:6b5522f7779a47a08dfe0db4f52a54c62021-12-05T12:10:32ZIntravenous infusion route in maternal resuscitation: a scoping review10.1186/s12873-021-00546-91471-227Xhttps://doaj.org/article/6b5522f7779a47a08dfe0db4f52a54c62021-12-01T00:00:00Zhttps://doi.org/10.1186/s12873-021-00546-9https://doaj.org/toc/1471-227XAbstract Background The concept that upper extremities can be used as an infusion route during cardiopulmonary resuscitation in pregnant women is a reasonable recommendation considering the characteristic circulation of pregnant women; however, this method is not based on scientific evidence. Objective of the review We conducted a scoping review to determine whether the infusion route should be established above the diaphragm during cardiopulmonary resuscitation in a pregnant woman. Discussion We included randomized controlled trials (RCTs) and non-RCTs on the infusion of fluids in pregnant women after 20 weeks of gestation requiring establishment of an infusion route due to cardiac arrest, massive bleeding, intra-abdominal bleeding, cesarean section, severe infection, or thrombosis. In total, 3150 articles from electronic database were extracted, respectively. After title and abstract review, 265 articles were extracted, and 116 articles were extracted by full-text screening, which were included in the final analysis. The 116 articles included 78 studies on infusion for pregnant women. The location of the intravenous infusion route could be confirmed in only 17 studies, all of which used the upper extremity to secure the venous route. Conclusion Pregnant women undergo significant physiological changes that differ from those of normal adults, because of pressure and drainage of the inferior vena cava and pelvic veins by the enlarged uterus. Therefore, despite a lack of evidence, it seems logical to secure the infusion route above the diaphragm when resuscitating a pregnant woman.Eishin NakamuraShinji TakahashiShigetaka MatsunagaHiroaki TanakaMarie FurutaAtsushi Sakuraithe Japan Resuscitation Council (JRC), Guideline Editorial CommitteeBMCarticleCardiopulmonary resuscitationPregnancyResuscitationIntravenous infusionScoping reviewSpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENBMC Emergency Medicine, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cardiopulmonary resuscitation Pregnancy Resuscitation Intravenous infusion Scoping review Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Cardiopulmonary resuscitation Pregnancy Resuscitation Intravenous infusion Scoping review Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Eishin Nakamura Shinji Takahashi Shigetaka Matsunaga Hiroaki Tanaka Marie Furuta Atsushi Sakurai the Japan Resuscitation Council (JRC), Guideline Editorial Committee Intravenous infusion route in maternal resuscitation: a scoping review
description	Abstract Background The concept that upper extremities can be used as an infusion route during cardiopulmonary resuscitation in pregnant women is a reasonable recommendation considering the characteristic circulation of pregnant women; however, this method is not based on scientific evidence. Objective of the review We conducted a scoping review to determine whether the infusion route should be established above the diaphragm during cardiopulmonary resuscitation in a pregnant woman. Discussion We included randomized controlled trials (RCTs) and non-RCTs on the infusion of fluids in pregnant women after 20 weeks of gestation requiring establishment of an infusion route due to cardiac arrest, massive bleeding, intra-abdominal bleeding, cesarean section, severe infection, or thrombosis. In total, 3150 articles from electronic database were extracted, respectively. After title and abstract review, 265 articles were extracted, and 116 articles were extracted by full-text screening, which were included in the final analysis. The 116 articles included 78 studies on infusion for pregnant women. The location of the intravenous infusion route could be confirmed in only 17 studies, all of which used the upper extremity to secure the venous route. Conclusion Pregnant women undergo significant physiological changes that differ from those of normal adults, because of pressure and drainage of the inferior vena cava and pelvic veins by the enlarged uterus. Therefore, despite a lack of evidence, it seems logical to secure the infusion route above the diaphragm when resuscitating a pregnant woman.
format	article
author	Eishin Nakamura Shinji Takahashi Shigetaka Matsunaga Hiroaki Tanaka Marie Furuta Atsushi Sakurai the Japan Resuscitation Council (JRC), Guideline Editorial Committee
author_facet	Eishin Nakamura Shinji Takahashi Shigetaka Matsunaga Hiroaki Tanaka Marie Furuta Atsushi Sakurai the Japan Resuscitation Council (JRC), Guideline Editorial Committee
author_sort	Eishin Nakamura
title	Intravenous infusion route in maternal resuscitation: a scoping review
title_short	Intravenous infusion route in maternal resuscitation: a scoping review
title_full	Intravenous infusion route in maternal resuscitation: a scoping review
title_fullStr	Intravenous infusion route in maternal resuscitation: a scoping review
title_full_unstemmed	Intravenous infusion route in maternal resuscitation: a scoping review
title_sort	intravenous infusion route in maternal resuscitation: a scoping review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/6b5522f7779a47a08dfe0db4f52a54c6
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Intravenous infusion route in maternal resuscitation: a scoping review

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