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Amniotic fluid embolism: A diagnostic dilemma
Amniotic fluid embolism (AFE) is a rare obstetric catastrophe with an incidence of 7.7 per 100 000 deliveries and mortality as high as 60% to 80%. We describe a case of perioperative cardiac arrest in a young parturient undergoing an emergent cesarean section. Just after delivery of live healthy mal...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173410/ https://www.ncbi.nlm.nih.gov/pubmed/25885396 http://dx.doi.org/10.4103/0259-1162.94789 |
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author | Kulshrestha, Ashish Mathur, Megha |
author_facet | Kulshrestha, Ashish Mathur, Megha |
author_sort | Kulshrestha, Ashish |
collection | PubMed |
description | Amniotic fluid embolism (AFE) is a rare obstetric catastrophe with an incidence of 7.7 per 100 000 deliveries and mortality as high as 60% to 80%. We describe a case of perioperative cardiac arrest in a young parturient undergoing an emergent cesarean section. Just after delivery of live healthy male baby, patient developed disseminated intravascular coagulation not responding to resuscitation with fluids and blood products. Her autopsy revealed edematous lungs with amniotic fluid debris within pulmonary vessels thus establishing the diagnosis of AFE. Amniotic fluid embolism is life threatening and difficult to predict or prevent condition, which should be always be kept in mind in a parturient with sudden cardiovascular collapse, so that resuscitation commences immediately, as early intervention is essential for a positive outcome. |
format | Online Article Text |
id | pubmed-4173410 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41734102014-10-22 Amniotic fluid embolism: A diagnostic dilemma Kulshrestha, Ashish Mathur, Megha Anesth Essays Res Case Report Amniotic fluid embolism (AFE) is a rare obstetric catastrophe with an incidence of 7.7 per 100 000 deliveries and mortality as high as 60% to 80%. We describe a case of perioperative cardiac arrest in a young parturient undergoing an emergent cesarean section. Just after delivery of live healthy male baby, patient developed disseminated intravascular coagulation not responding to resuscitation with fluids and blood products. Her autopsy revealed edematous lungs with amniotic fluid debris within pulmonary vessels thus establishing the diagnosis of AFE. Amniotic fluid embolism is life threatening and difficult to predict or prevent condition, which should be always be kept in mind in a parturient with sudden cardiovascular collapse, so that resuscitation commences immediately, as early intervention is essential for a positive outcome. Medknow Publications & Media Pvt Ltd 2011 /pmc/articles/PMC4173410/ /pubmed/25885396 http://dx.doi.org/10.4103/0259-1162.94789 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kulshrestha, Ashish Mathur, Megha Amniotic fluid embolism: A diagnostic dilemma |
title | Amniotic fluid embolism: A diagnostic dilemma |
title_full | Amniotic fluid embolism: A diagnostic dilemma |
title_fullStr | Amniotic fluid embolism: A diagnostic dilemma |
title_full_unstemmed | Amniotic fluid embolism: A diagnostic dilemma |
title_short | Amniotic fluid embolism: A diagnostic dilemma |
title_sort | amniotic fluid embolism: a diagnostic dilemma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173410/ https://www.ncbi.nlm.nih.gov/pubmed/25885396 http://dx.doi.org/10.4103/0259-1162.94789 |
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