[Amniotic fluid embolism as an obstetric emergency--description of the syndrome and a case with fatal outcome].
Amnotic fluid embolism is an incompletely understood obstetric emergency presenting with the acute onset of hypoxia, hypotension and severe coagulopathy. Up to 86% of the cases are fatal, maternal death occurs within the first hour of symptom onset in 50% of the patients. This report describes the case of a 29-year-old, HIV-positive patient undergoing elective cesarean section who died despite immediate onset of cardiopulmonary resuscitation. The epidemiology of amniotic fluid embolism, clinical presentation, differential diagnosis, pathology and possible treatment are discussed.
Gürke
B
B
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Johann-Wolfgang-Goethe-Universität Frankfurt/Main.
Bremerich
D H
DH
Engels
K
K
Ahr
A
A
Kaufmann
M
M
D000328:Adult; D016887:Cardiopulmonary Resuscitation; D002585:Cesarean Section; D004619:Embolism, Amniotic Fluid / Q000628:therapy*; D004632:Emergency Medical Services; D017809:Fatal Outcome; D005260:Female; D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D011247:Pregnancy