Survival following amniotic fluid embolism and cardiac arrest complicated by sub-capsular liver haematoma.
We describe the anaesthetic and intensive care management of a 38-year-old mother with presumed amniotic fluid embolism who suffered cardiorespiratory collapse following delivery of a normal baby by caesarean section. After initial resuscitation, her recovery was complicated by development of disseminated intravascular coagulation and a large sub-capsular hepatic haematoma. We describe the initial resuscitative efforts and subsequent intensive therapy to full neurological recovery and discharge from hospital.
Nagar
M P
MP
Department of Anaesthesia and Intensive Care, Pinderfields General Hospital, Wakefield WF1 4DG, UK.
Gratrix
A P
AP
O'Beirne
H A
HA
Enright
S M
SM
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D004619:Embolism, Amniotic Fluid / Q000150:complications / Q000628:therapy*; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D011247:Pregnancy