Amniotic fluid embolus: Difference between revisions

(Text replacement - " pt " to " patient ")
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##Place patient in left lateral decubitus position
##Place patient in left lateral decubitus position
#Immediate delivery of fetus:
#Immediate delivery of fetus:
##[[Perimortem C-section]] w/in 5min of cardiac arrest if mother cannot be resuscitated
##[[Perimortem C-section]] within 5min of cardiac arrest if mother cannot be resuscitated


==See Also==
==See Also==

Revision as of 01:25, 14 July 2016

Background

  • Diagnosis of exclusion
  • Maternal mortality rate ~80%; 85% of survivors have neurologic sequelae

Risk Factors

  1. Cesarean delivery
  2. Advanced maternal age
  3. Abnormal placental implantation
  4. Uterine rupture
  5. Eclampsia
  6. Amniocentesis
  7. Trauma

Diagnosis

  1. Any of the following:
    1. Respiratory distress
    2. Pulmonary edema
    3. Hypoxia
    4. AMS
    5. Seizures
    6. Sudden maternal cardiovascular collapse
    7. DIC

Differential Diagnosis

3rd Trimester/Postpartum Emergencies

Management

  1. Treat hypoxia
    1. NRB or intubate
  2. Treat hypotension
    1. Pressors / blood products
  3. Avoid hypoperfusion
    1. Place patient in left lateral decubitus position
  4. Immediate delivery of fetus:
    1. Perimortem C-section within 5min of cardiac arrest if mother cannot be resuscitated

See Also

References

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