Amniotic fluid embolism: a comparison between patients who survived and those who died

The Journal of International Medical Research
Yoshio Matsuda, M Kamitomo

Abstract

This study aimed to investigate comparative clinical courses for a series of women with amniotic fluid embolism (AFE) and to assess factors associated with patient survival. Clinical courses of nine patients with AFE in a single tertiary centre were reviewed. AFE was diagnosed when a woman presented with typical clinical symptoms accompanied by abnormal laboratory tests (including abnormal coagulation) or at autopsy when fetal debris was found in the maternal pulmonary arteries. Five patients survived and four died. The first clinical manifestations of AFE were variable; dyspnoea was noted in only four patients. Other signs were state of shock, abdominal pain and uterine atony. The mean +/- SD interval between the onset of clinical manifestations and treatment was significantly shorter for survivors (48.0 +/- 36.3 min) than for non-survivors (137.5 +/- 49.7 min). The number of failed organs was significantly fewer for the survivors compared with the non-survivors. AFE was accompanied by a wide variety of clinical manifestations, but early diagnosis and treatment appeared to be the most critical factors associated with survival.

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Citations

May 10, 2013·European Journal of Anaesthesiology·Sibylle A Kozek-LangeneckerPiet Wyffels
Oct 5, 2011·Clinical & Developmental Immunology·Michael D Benson
Nov 5, 2014·Intractable & Rare Diseases Research·Xiuting MoRuoyan Gai Tobe
Apr 6, 2011·The Journal of Obstetrics and Gynaecology Research·Kanako HosonoIkuo Konishi
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Feb 12, 2017·The Journal of Obstetrics and Gynaecology Research·Naoaki TamuraNaohiro Kanayama
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Mar 1, 2014·Obstetric Medicine·Michael D Benson
Mar 14, 2014·Deutsches Ärzteblatt International·Werner H RathInga Sinicina

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