![]() Blood is pumped with great force from the heart into the arteries. The heart, arteries, capillaries, and veins make up the bodys circulatory system. This blockage of a blood vessel by an embolus is called an embolism. This can block the blood supply to a particular organ. It may range from a relatively minor subclinical episode through to one which is rapidly fatal. An embolus can lodge itself in a blood vessel. Amniotic fluid embolism (AFE) is the second leading cause of maternal mortality in the USA with an incidence of 1 : 15,200 births. In cases that require prolonged cardiopulmonary resuscitation or, after arrest, severe ventricular dysfunction refractory to medical management, consideration for venoarterial extracorporeal membrane oxygenation should be given.īlood product cardiac arrest coagulation cryoprecipitate dobutamine norepinephrine platelet right ventricular failure.Ĭopyright © 2019 Elsevier Inc. Amniotic fluid embolism is a rare and potentially catastrophic, but poorly understood condition that is unique to pregnancy. Amniotic fluid embolism-related coagulopathy should be managed with hemostatic resuscitation with the use of a 1:1:1 ratio of packed red cells, fresh frozen plasma, and platelets (with cryoprecipitate as needed to maintain a serum fibrinogen of >150-200 mg/dL). Obstetric emergencies, like severe bleeding and amniotic fluid embolism (when amniotic fluid enters a mother’s bloodstream), cause most deaths at delivery. Blood pressure support with vasopressors is preferred over fluid infusion in the setting of severe right ventricular compromise. We present a case of cardiac arrest secondary to presumed AFE and the use of atropine-ondansetron-ketorolac (AOK). ![]() No well-studied protocols are available for management of AFE. If such failure is identified, treatment that is tailored at improving right ventricular performance should be initiated with the use of inotropic agents and pulmonary vasodilators. Background: Amniotic fluid embolism (AFE) is a rare cause of severe maternal morbidity and mortality. Where available, we recommend performing transthoracic or transesophageal echocardiography as soon as possible because this is an easy and reliable method of identifying a failing right ventricle. We describe key features of initial treatment of patients with amniotic fluid embolism. Amniotic fluid embolism (AFE) is a rare obstetric syndrome in pregnant women that results in acute circulatory failure and disseminated intra-vascular. Because amniotic fluid embolism usually is seen with cardiac arrest, the initial immediate response should be to provide high-quality cardiopulmonary resuscitation. Amniotic fluid embolism is an uncommon, but potentially lethal, complication of pregnancy. Amniotic fluid embolism (AFE), also referred to as ana- phylactoid syndrome of pregnancy, is a rare obstetric emergency that may manifest itself at any time.
0 Comments
Leave a Reply. |