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Amniotic Fluid Embolism Barbara L. Leighton, MD Professor of Anesthesiology and Obstetrics and Gynecology Washington University School of Medicine Leighton USTL.DUI have no conflicts of interest or
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People Also Ask about
How many people survive amniotic fluid embolism?
Amniotic fluid embolism (AFE) is the cause of 5-10% of maternal mortality in the United States. Of patients with AFE, 50% die within the first hour of onset of symptoms. Of survivors of the initial cardiorespiratory phase, 50% develop a coagulopathy.
What to do if someone has an amniotic fluid embolism?
Medical Care Administer oxygen to maintain normal saturation. Initiate cardiopulmonary resuscitation (CPR) if the patient arrests. Treat hypotension with crystalloid and blood products. Avoid excessive fluid administration. Consider pulmonary artery catheterization in patients who are hemodynamically unstable.
What is the first finding in a patient with amniotic fluid embolism typically?
The initial signs may often be seen on an electrocardiogram (tachycardia with a right ventricular strain pattern and ST-T wave changes) and pulse oximetry may show sudden drop in oxygen saturation. This is followed by profound hypotension and cardiovascular collapse associated with severe respiratory distress.
What are nursing actions when a patient has an amniotic fluid embolism?
Medical and Nursing Interventions for Amniotic Fluid Embolism. (1) Give immediate and vigorous treatment. (2) Give oxygen by face mask. (3) Maintain normal blood volume through administration of plasma and intravenous fluids.
What treatment is carried out in the first phase of an embolism with amniotic fluid?
Treatment is mainly supportive, but exchange transfusion, extracorporeal membrane oxygenation, and uterine artery embolization have been tried from time to time. The maternal prognosis after amniotic fluid embolism is very poor though infant survival rate is around 70%.
What to do during amniotic fluid embolism?
Medical Care Administer oxygen to maintain normal saturation. Initiate cardiopulmonary resuscitation (CPR) if the patient arrests. Treat hypotension with crystalloid and blood products. Avoid excessive fluid administration. Consider pulmonary artery catheterization in patients who are hemodynamically unstable.
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What is amniotic fluid embolism?
Amniotic fluid embolism is a rare but serious condition that can occur during childbirth when amniotic fluid or other debris enters the mother's bloodstream.
Who is required to file amniotic fluid embolism?
Healthcare professionals who diagnose or treat cases of amniotic fluid embolism are required to file a report.
How to fill out amniotic fluid embolism?
The report should include detailed information about the patient, symptoms, diagnosis, treatment, and outcome of the amniotic fluid embolism.
What is the purpose of amniotic fluid embolism?
The purpose of reporting amniotic fluid embolism is to gather data for research and to improve understanding and management of this condition.
What information must be reported on amniotic fluid embolism?
Information such as patient demographics, clinical presentation, diagnostic tests, treatments administered, and outcomes must be reported.
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