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Case Reports
Successful recovery after amniotic fluid embolism in a patient undergoing vacuum-assisted vaginal delivery.
- Eric M Wise, Ricky Harika, and Fatima Zahir.
- Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: wiseem@upmc.edu.
- J Clin Anesth. 2016 Nov 1; 34: 557-61.
AbstractAmniotic fluid embolism (AFE) is a rare, catastrophic emergency that requires prompt recognition and treatment. Despite early recognition and supportive therapy, the morbidity and mortality remain high. We report a case of AFE after vacuum-assisted vaginal delivery resulting in hemodynamic collapse and subsequent multiorgan failure. Management included mechanical ventilation, extracorporeal membrane oxygenation, and continuous veno-venous hemodialysis. The patient was able to make a full recovery with minimal sequelae. In AFE with multiorgan failure, extracorporeal membrane oxygenation and continuous veno-venous hemodialysis can be valuable therapies. Proper management requires effective communication and the combined efforts of physicians of several disciplines. Copyright © 2016 Elsevier Inc. All rights reserved.
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