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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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Detalles Bibliográficos
Autores principales: Kulshrestha, Ashish, Mathur, Megha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
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.
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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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