Amniotic Fluid Embolism: A Nightmare
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 10
Abstract
The disastrous entry of amniotic fluid into the maternal circulation leads to dramatic sequelae of clinical events, characteristically referred to as Amniotic fluid embolism (AFE). AFE can occur during labour, caesarean section, dilatation and evacuation or in the immediate postpartum period where the role of anaesthetist is prudent. The pathophysiology is believed to be immune mediated which affects the respiratory, cardiovascular, neurological and haematological systems. Undetected and untreated, it turns into fulminant pulmonary oedema, intractable convulsions, disseminated intravascular coagulation (DIC), malignant arrhythmias and cardiac arrest. Usually the diagnosis is made clinically however definite diagnosis can be confirmed by identification of lanugo, foetal hair and foetal squamous cells in blood aspirated from the maternal right ventricle. The cornerstone of management is early recognition and aggressive resuscitation with multidisciplinary approach that increases the probability of maternal and neonatal survival.
Authors and Affiliations
Dr Rashmi Bengali
Keywords
Related Articles
- EP ID EP214568
- DOI -
- Views 97
- Downloads 0
Bacterial Flora in Sputum and Antibiotic Sensitivity in Exacerbations of Bronchiectasis
Background: The present study aimed to identify Bacterial Flora in Sputum during exacerbations of Bronchiectasis and to assess the antibiotic sensitivity pattern of isolated organisms. Materials and Methods: A Cross-sect...
Metachronous Keratinising Squamous Cell Carcinoma of Skin After Adenocarcinoma of Descending Colon
Colorectal carcinoma is the most common malignancy of the GI tract, its development involving interplay between genetic and environmental influences. With advances in diagnostic techniques and treatment modalities, the n...
Allogenic Blood Transfusion and Post-operative Outcomes in Elective CABG cases: A Prospective Study
: To assess the relationship between RBC/whole blood transfusion and hospital length of stay in a large, single reference centre of cardiac surgery and then to compare the characteristics of patients who received RBC/who...
Detection of Latent Tuberculosis Infection in Nursing Students by Combined TST and IGRA Serial Testing
Nursing students are Occupationally at risk group for tuberculosis. Tuberculosis can either be as Latent tuberculosis (LTBI) or as active tuberculosis infection (TBI). Lack of awareness and not taking appropriate self de...
Prevalence of Tobacco Consumption among Urban Tribals of Mandla District (M.P)
Introduction: Tobacco is one of the most common abuse substances all over the world. Tobacco leads to disease and disability and harms nearly every organ of the body. According to the World Health Organization (WHO), nea...