case of amniotic fluid embolism successfully resuscitated

ABSTRACT

We reported a case of 38 years old woman who is presented for elective cesarean section [CS] with previous history of 3CS. After induction of anaesthesia, CS was started and immediately after delivery of baby, patient developed hypotension, cyanosis and cardiac arrest. Cardiopulmonary resuscitation measures started and patient responded after 3 attempts. During resuscitation patient started to bleed and diagnosed as disseminated intravascular coagulopathy [DIC]. Resuscitation was performed by appropriate blood products and inotropes was given. After haemodynamic stabilization and abdominal closure patient was transformed to ICU and IPPV was done. Acute respiratory distress syndrome [ARDs] was evident radiologically, clinically and by ABGs. Ventilator parameters were adjusted and patients weaned on the 4th ICU day at that time neurological evaluation revealed right sided hemiplegia and aphasia. Physiotherapy started and patient showed improvement and walked before discharge from hospital