aok treatment for amniotic fluid embolism

Preparations for emergent perimortem cesarean should be initiated simultaneously with initiation of CPR – if the cardiac arrest is still ongoing as the instruments become available, proceed with cesarean delivery.Use of vasopressors, anti-arrhythmic agents, and defibrillating doses is not different than those utilized in non- pregnant individuals.Involvement of a multidisciplinary team including anesthesia, respiratory therapy, critical care, and maternal-fetal medicine should be involved in ongoing care of such women.Although the condition is rare, the case fatality rate is high, and AFE. Objective: This article aims to review and provide more understanding of current knowledge of amniotic fluid embolism regarding pathophysiology, diagnostic criteria, risk factors, indicating biomarkers, treatment strategies and outcomes of some case reports. Immediate high quality cardiopulmonary resuscitation with standard BCLS and ACLS protocols in patients who develop cardiac arrest associated with AFE. Amniotic fluid embolism (AFE) occurs in about 1 in 20,000 to 1 in 40,000 deliveries.

Signs of an amniotic fluid embolism can include: Sudden shortness of breath. The use of any specific diagnostic laboratory test to either confirm or refute the diagnosis of AFE is not recommended at the present time AFE remains a clinical diagnosis. It usually happens in labor, during C-section, or within a half-hour of delivery.70% of cases of AFE occur during labor, 11% after a vaginal delivery, and 19% during a cesarean delivery.AFE is so rare that there are no risk factors sufficiently established to justify any alteration in standard obstetric care.Diminished uterine perfusion, uterine atony.May progress rapidly to cardiac arrest, with pulseless electrical activity (PEA), asystole, ventricular fibrillation, or pulseless ventricular tachycardia.Period of anxiety, change in mental status, agitation, and a sensation of “doom” may precede the event.DDX (long): myocardial infarction, pulmonary embolism, air embolism, anesthetic complications, anaphylaxis, and eclampsia and sepsis.DDX in any women with sudden cardiovascular collapse or cardiac arrest seizures, severe respiratory difficulty or hypoxia, particularly if such events are followed by a coagulopathy that cannot be otherwise explained.Triad of sudden hypoxia and hypotension, followed in many cases by coagulopathy, all occurring in relation to labor and delivery.

Aok treatment for amniotic fluid embolism