Successful recovery after amniotic fluid embolism in a patient undergoing vacuum-assisted vaginal delivery.
Amniotic fluid embolism (AFE) is a rare, catastrophic emergency that requires prompt recognition and treatment. Despite early recognition and supportive therapy, the morbidity and mortality remain high. We report a case of AFE after vacuum-assisted vaginal delivery resulting in hemodynamic collapse and subsequent multiorgan failure. Management included mechanical ventilation, extracorporeal membrane oxygenation, and continuous veno-venous hemodialysis. The patient was able to make a full recovery with minimal sequelae. In AFE with multiorgan failure, extracorporeal membrane oxygenation and continuous veno-venous hemodialysis can be valuable therapies. Proper management requires effective communication and the combined efforts of physicians of several disciplines.
Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: wiseem@upmc.edu.
Eric M
EM
Wise
Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ricky
R
Harika
Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Fatima
F
Zahir
D000328:Adult; D016913:Blood Component Transfusion; D002316:Cardiotonic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004452:Echocardiography; D004619:Embolism, Amniotic Fluid / Q000209:etiology / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006440:Hemofiltration; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology / Q000628:therapy*; D010952:Plasma Substitutes / Q000008:administration & dosage / Q000627:therapeutic use; D011247:Pregnancy; D011859:Radiography; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*
D002316:Cardiotonic Agents; D010952:Plasma Substitutes
Amniotic fluid embolism; Extracorporeal membrane oxygenation; Pregnancy