Journals / Tıp Araştırmaları Dergisi / 2003 / Cilt: 1 - Sayı: 3

Treatment by PEEP of a case of amniotic fluid embolism developed after cesarean section

Sezaryen operasyonu sonrasında gelişen amniyon sıvı embolisi olgusunun PEEP ile tedavisi

Pages
43–46
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Because of this case, we aimed that the epidemiology, clinical presentation, differantial diagnosis, pathology and possible treatment of amniotic fluid embolism are discussed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Amniotic fluid embolism is an incompletely understood obstetric emergency presenting with the acute onset of hypoxia, hypotension and severe coagulopathy.
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Key Findings & Data:A 35 year old woman who was other-wise healthy and had taken no medication and had no allergy, was admitted to our clinic for delivery with cesarean section after normal pregnancy.
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Conclusion & Impact:Because of this case, we aimed that the epidemiology, clinical presentation, differantial diagnosis, pathology and possible treatment of amniotic fluid embolism are discussed.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Emboli · amniyotik sıvı · Ameliyat sonrası komplikasyonlar

Abstract

Amniotic fluid embolism is an incompletely understood obstetric emergency presenting with the acute onset of hypoxia, hypotension and severe coagulopathy. A 35 year old woman who was other-wise healthy and had taken no medication and had no allergy, was admitted to our clinic for delivery with cesarean section after normal pregnancy. After elective cesarean section under general anaesthesia, the mother became dyspneic, hypoxic, hypotensive and bradycardic required cardiac and respiratuar life support. Amniotic fluid embolism is diag-nosed in this patient with laboratory findings, and successful resuscitation was done. Because of this case, we aimed that the epidemiology, clinical presentation, differantial diagnosis, pathology and possible treatment of amniotic fluid embolism are discussed.

Özet

Amniyotik sıvı embolisi ani başlangıçlı hipoksi, hipotansiyon ve şiddetli koagülopati ile birlikte olan ve henüz tam aydınlatılmamış obstetrik bir acildir. 35 yaşında tamamen sağlıklı, ilaç alımı ve allerji hikayesi olmayan hasta normal bir gebelik sonrası sezaryen ile doğum yapmak üzere kliniğimize başvurdu. Genel anestezi altında sezaryen operasyonu sonrasında ani dispne, hipoksi, hipotansiyon ve bradikardi gelişen hastaya dolaşım ve solunumsal yaşam desteği yapılması gerekti. Bu hastaya laboratuvar bulguları ile amniyotik sıvı embolisi tanısı kondu ve başarılı bir resusitasyon yapıldı. Bu vaka nedeniyle amniotik sıvı embolisinin epidemiyolojisi, kliniği, ayırıcı tanısı, patolojisi ve tedavisini tartışmayı amaçladık.

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Cite This Article

ÇELİK, J. B., GEZGİNÇ, K., ACAR, A., AKYÜREK, C. (2003). Treatment by PEEP of a case of amniotic fluid embolism developed after cesarean section. Tıp Araştırmaları Dergisi, Cilt: 1 - Sayı: 3, 43–46. https://ajindex.com/articles/361746

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References (17)

  1. Nishio H, Matsui K, Miyazaki T, Tamura A, Iwata M, Suzuki K. A fatal case of amniotic fluid embolism with elevation of serum mast cell tryptase. Forensic Science International. 2002 March; 126(1):53-56
  2. Davies S. Amniotic fluid embolus: a review of the literature. Can J Anesth 2001;48:88-98. 3-Ie S, Rubio ER, Alper B, Szerlip HM. Respiratory complications of pregnancy. Obstet Gynecol Surv 2002 Jan;57(1):39-46
  3. Morgan M. Amniotic fluid embolism. Anaesthesia 1979;34:20-32
  4. Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 1995;172:1158-1169
  5. Gray HH, Miller GAH, Paneth M. Pulmonary embolectomy: its place in the managment of pulmonary embolism. Lancet 1988;1:1441-1445
  6. Fava S, Galizia AC. Amniotic fluid embolism. Br J Obstet Gynecol 1993; 100:1049-1050
  7. Sterner S, Campbell B, Davies S. Amniotic fluid embolism. Ann Emerg Med 1984; 13:343-345
  8. Maher JE, Wenstrom KD, Hauth JC, Meis PJ. Amniotic fluid embolism after saline amnioinfusion two cases and review of the literature. Obstet Gynecol 1994; 83:851-854
  9. Lee W, Gingsburg KA, Cotton DB, Kaufman RH. Squamous and trophoblastic cells in the maternal pulmonary circulation identified by invasive hemodynamic monitoring during the peripartum period. Am J Obstet Gynecol 1986;155:999-1001
  10. Shah K, Karlman R, Heller J. Ventricular tachycardia and hypotension with amniotic fluid embolism during Cesarean section. Anesth Analg 1986; 65:533-535
  11. Benson MD, Kobayashi H, Silver RK, Oi H, Greenberger PA, Terao T. Immunologic studies in presumed amniotic fluid embolism. Obstet Gynecol 2001 April;97(4):510-514
  12. Uszynski M, Zekanowska E, Uszynski W, Kuczynski J. Tissue factor (TF) and tissue factor pathway inhibitor (TFPI) in amniotic fluid and blood plasma: implications for the mechanism of amniotic fluid embolism. European J Obstet Gynecol and Reprod Biology 2001 April;95(2):163-166
  13. Davies S. Amniotic fluid embolism and isolated disseminated intravascular coagulation. Can J Anesth 1999-46:456-459
  14. Lockwood CJ, Bach R, Guha A, Zhou X, Miller WA, Nemerson Y. Amniotic fluid contains tissue factor, a potent initiator of coagulation. Am J Obstet Gynecol 1991;165:1335-1341
  15. Syed SA, Dearden CH. Amniotic fluid embolism emergency management. J Accid Emerg Med 1996;13:285-286
  16. Lumley J, Owen R, Morgan M. Amniotic fluid embolism. A report of 3 cases Anaesthesia 1979;34:33-36
  17. Clark SL, Cotton DB