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Use of Extracorporeal Membrane Oxygenation in a Fulminant Course of Amniotic Fluid Embolism Syndrome Immediately after Cesarean Delivery / 대한구급학회지
The Korean Journal of Critical Care Medicine ; : 256-261, 2016.
Artículo en Inglés | WPRIM | ID: wpr-770944
ABSTRACT
Amniotic fluid embolism is rare but is one of the most catastrophic complications in the peripartum period. This syndrome is caused by a maternal anaphylactic reaction to the introduction of fetal material into the pulmonary circulation. When amniotic fluid embolism is suspected, the immediate application of extracorporeal mechanical circulatory support such as veno-arterial extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass should be considered. Without the application of extracorporeal mechanical circulatory support, medical supportive care might not be sufficient to maintain cardiopulmonary stabilization in severe cases of amniotic fluid embolism. In this report, we present the case of a 36-year-old pregnant woman who developed an amniotic fluid embolism immediately after a cesarean section. Her catastrophic event started with the sudden onset of severe hypoxia, followed by circulatory collapse within 8 minutes. The veno-arterial mode of extracorporeal membrane oxygenation was initiated immediately. She was successfully resuscitated but with impaired cognitive function. Thus, urgent ECMO should be considered when amniotic fluid embolism syndrome is suspected in patients presenting acute cardiopulmonary collapse.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Choque / Puente Cardiopulmonar / Oxigenación por Membrana Extracorpórea / Cesárea / Circulación Pulmonar / Cognición / Mujeres Embarazadas / Embolia de Líquido Amniótico / Periodo Periparto / Líquido Amniótico Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: The Korean Journal of Critical Care Medicine Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Choque / Puente Cardiopulmonar / Oxigenación por Membrana Extracorpórea / Cesárea / Circulación Pulmonar / Cognición / Mujeres Embarazadas / Embolia de Líquido Amniótico / Periodo Periparto / Líquido Amniótico Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: The Korean Journal of Critical Care Medicine Año: 2016 Tipo del documento: Artículo