1.
Anaesth Intensive Care
; 39(5): 973-4, 2011 Sep.
Article
in English
| MEDLINE
| ID: mdl-21970152
Subject(s)
Awareness/drug effects , Cardiac Surgical Procedures , Medical Audit/methods , Adjuvants, Anesthesia , Androstanols , Anesthetics, Inhalation , Etomidate , Fentanyl , Humans , Hypnotics and Sedatives , Isoflurane , Lorazepam , Male , Medical Audit/statistics & numerical data , Mental Recall , Midazolam , Middle Aged , Neuromuscular Nondepolarizing Agents , Pancuronium , Propofol , Prospective Studies , Rocuronium , Temazepam , Vecuronium Bromide
2.
Int J Obstet Anesth
; 16(3): 269-73, 2007 Jul.
Article
in English
| MEDLINE
| ID: mdl-17337177
ABSTRACT
We describe a case of amniotic fluid embolism presenting as cardiovascular collapse during labour. After initial resuscitation and emergency caesarean section, the patient was transferred to the intensive care unit with profound hypoxaemia, a high inotropic drug requirement and severe coagulopathy. A transoesophageal echocardiogram demonstrated acute right ventricular overload, severe pulmonary artery hypertension and marked diastolic dysfunction of the left ventricle secondary to a dilated right ventricle. The introduction of nitric oxide at 40 ppm produced a dramatic improvement in her cardiorespiratory status. Mother and baby both survived with no apparent long term sequelae.