Successful resuscitation of amniotic fluid embolism applying a new classification and management strategy

JA Clinical Reports
Shinya YufuneTomiei Kazama

Abstract

Amniotic fluid embolism (AFE) is a rare but life-threatening maternal emergency caused by the entry of amniotic fluid contents into the maternal circulation. The clinical manifestations of AFE are heterogeneous, leading to misdiagnosis or treatment delay. Kanayama and colleagues distinguished the cardiopulmonary collapse type (or classic type) from the disseminated intravascular coagulation (DIC) type of AFE on the basis of the presence of uterine atony and DIC in the latter prior to cardiopulmonary failure. We report a case of DIC-type AFE successfully treated by blood volume replacement and coagulation therapy. The patient was scheduled for elective cesarean delivery because of a previous cesarean section and moyamoya disease. Delivery was uneventful, but massive vaginal bleeding without clotting and ensuing hypovolemic shock occurred 4 h later. She was transferred to the operating room for emergency laparotomy, but sustained a cardiac arrest. The patient was successfully resuscitated and a hysterectomy performed. During surgery, the patient received fresh frozen plasma, platelets, fibrinogen, and antithrombin concentrate. In cardiopulmonary collapse type AFE, cardiopulmonary resuscitation without delay is important. In the p...Continue Reading

References

Apr 1, 1995·American Journal of Obstetrics and Gynecology·S L ClarkT F Porter
Mar 29, 2001·Obstetrics and Gynecology·M D BensonT Terao
Jul 1, 2006·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies
Nov 19, 2010·The Journal of Obstetrics and Gynaecology Research·Naohiro KanayamaTomoaki Ikeda
Dec 18, 2013·British Journal of Anaesthesia·H P Pham, B H Shaz
Jan 10, 2014·Obstetrics and Gynecology·Steven L Clark
Feb 25, 2014·Critical Care Medicine·Naoaki TamuraNaohiro Kanayama
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Naohiro Kanayama, Naoaki Tamura

❮ Previous
Next ❯

Citations

Feb 13, 2018·Case Reports in Obstetrics and Gynecology·Shadi RezaiCassandra E Henderson

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

© 2022 Meta ULC. All rights reserved