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Successful extracorporeal membrane oxygenation in the management of acute respiratory distress syndrome and cardiopulmonary collapse secondary to amniotic fluid embolism
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Title:
Successful extracorporeal membrane oxygenation in the management of acute respiratory distress syndrome and cardiopulmonary collapse secondary to amniotic fluid embolism
Author:
Wojciechowski, Katrina
;
Feitell, Scott C
;
Roy, Sumon
;
Pendela, Venkata S
;
Oates, Patricia
;
Biniwale, Nishit A
Subjects:
acute respiratory distress syndrome
;
amniotic fluid embolism
;
Cardiovascular Diseases
;
extracorporeal membrane oxygenation
;
Female Urogenital Diseases and Pregnancy Complications
;
heart failure
;
Investigative Techniques
;
Respiratory Tract Diseases
;
Therapeutics
Description:
Amniotic fluid embolism (AFE) is one of the most devastating complications of pregnancy that typically manifests as acute cardiopulmonary collapse during delivery or in the postpartum period. The potential role of extracorporeal membrane oxygenation (ECMO) as a management technique in severe cases of AFE remains largely unknown given the limited literature available. In this report, we present the first case, to our knowledge, of successful implementation of ECMO as a life-saving measure in a case of hemorrhagic shock due to postpartum bleeding complicated by severe AFE leading to acute respiratory distress syndrome (ARDS) ultimately requiring tracheostomy. Hemodynamic decompensation is often rapid but transient in cases of severe AFE, and we recommend early consideration of ECMO implementation given its vital utility in these critical moments.
Creation Date:
2019
Language:
English
Source:
UKnowledge
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