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Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report

Amniotic fluid embolism (AFE) is a rare disease, but it is a potentially fatal condition, as well as a leading cause of unpredictable maternal death in developed countries. The typical clinical symptoms of AFE include hypoxia, hypotension, and coagulopathy, and with rapid progression, it may cause c...

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Autores principales: Kim, Jae Won, Kim, Jin Hwan, Kim, Tae Woo, Ryu, Keon Hee, Park, Sun Gyoo, Jeong, Chang Young, Choi, Jin Ho, Park, Dong Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7111119/
https://www.ncbi.nlm.nih.gov/pubmed/32090659
http://dx.doi.org/10.1177/0300060520903640
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author Kim, Jae Won
Kim, Jin Hwan
Kim, Tae Woo
Ryu, Keon Hee
Park, Sun Gyoo
Jeong, Chang Young
Choi, Jin Ho
Park, Dong Ho
author_facet Kim, Jae Won
Kim, Jin Hwan
Kim, Tae Woo
Ryu, Keon Hee
Park, Sun Gyoo
Jeong, Chang Young
Choi, Jin Ho
Park, Dong Ho
author_sort Kim, Jae Won
collection PubMed
description Amniotic fluid embolism (AFE) is a rare disease, but it is a potentially fatal condition, as well as a leading cause of unpredictable maternal death in developed countries. The typical clinical symptoms of AFE include hypoxia, hypotension, and coagulopathy, and with rapid progression, it may cause cardiac arrest and death. We report a case of sudden hemodynamic instability due to amniotic fluid embolism, which was successfully treated with veno-arterial extracorporeal membrane oxygenation (ECMO). A 39-year-old woman was scheduled for delivery at 38 weeks and 2 days of gestation. During labor, sudden generalized tonic-clonic seizures developed, followed by dyspnea and cyanosis. Despite immediate cesarean section being performed, she became hypoxemic and experienced cardiovascular collapse. ECMO was promptly applied, and the patient became stable 8 days after cesarean section. ECMO appears to be an appropriate treatment option for catastrophic amniotic fluid embolism.
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spelling pubmed-71111192020-04-09 Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report Kim, Jae Won Kim, Jin Hwan Kim, Tae Woo Ryu, Keon Hee Park, Sun Gyoo Jeong, Chang Young Choi, Jin Ho Park, Dong Ho J Int Med Res Case Report Amniotic fluid embolism (AFE) is a rare disease, but it is a potentially fatal condition, as well as a leading cause of unpredictable maternal death in developed countries. The typical clinical symptoms of AFE include hypoxia, hypotension, and coagulopathy, and with rapid progression, it may cause cardiac arrest and death. We report a case of sudden hemodynamic instability due to amniotic fluid embolism, which was successfully treated with veno-arterial extracorporeal membrane oxygenation (ECMO). A 39-year-old woman was scheduled for delivery at 38 weeks and 2 days of gestation. During labor, sudden generalized tonic-clonic seizures developed, followed by dyspnea and cyanosis. Despite immediate cesarean section being performed, she became hypoxemic and experienced cardiovascular collapse. ECMO was promptly applied, and the patient became stable 8 days after cesarean section. ECMO appears to be an appropriate treatment option for catastrophic amniotic fluid embolism. SAGE Publications 2020-02-24 /pmc/articles/PMC7111119/ /pubmed/32090659 http://dx.doi.org/10.1177/0300060520903640 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Kim, Jae Won
Kim, Jin Hwan
Kim, Tae Woo
Ryu, Keon Hee
Park, Sun Gyoo
Jeong, Chang Young
Choi, Jin Ho
Park, Dong Ho
Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title_full Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title_fullStr Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title_full_unstemmed Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title_short Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
title_sort successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7111119/
https://www.ncbi.nlm.nih.gov/pubmed/32090659
http://dx.doi.org/10.1177/0300060520903640
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