Amniotic fluid embolus: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:OB/GYN" to "Category:OBGYN") |
Neil.m.young (talk | contribs) (Text replacement - "==Source==" to "==References== <references/>") |
||
| Line 38: | Line 38: | ||
*[[Post-Partum Emergencies]] | *[[Post-Partum Emergencies]] | ||
== | ==References== | ||
<references/> | |||
Tintinalli | Tintinalli | ||
[[Category:OBGYN]] | [[Category:OBGYN]] | ||
Revision as of 01:17, 27 June 2016
Background
- Diagnosis of exclusion
- Maternal mortality rate ~80%; 85% of survivors have neurologic sequelae
Risk Factors
- Cesarean delivery
- Advanced maternal age
- Abnormal placental implantation
- Uterine rupture
- Eclampsia
- Amniocentesis
- Trauma
Diagnosis
- Any of the following:
- Respiratory distress
- Pulmonary edema
- Hypoxia
- AMS
- Seizures
- Sudden maternal cardiovascular collapse
- DIC
Differential Diagnosis
3rd Trimester/Postpartum Emergencies
- Acute fatty liver of pregnancy
- Amniotic fluid embolus
- Chorioamnionitis
- Eclampsia
- HELLP syndrome
- Mastitis
- Peripartum cardiomyopathy
- Postpartum endometritis (postpartum PID)
- Postpartum headache
- Postpartum hemorrhage
- Preeclampsia
- Resuscitative hysterotomy
- Retained products of conception
- Septic abortion
- Uterine rupture
Management
- Treat hypoxia
- NRB or intubate
- Treat hypotension
- Avoid hypoperfusion
- Place pt in left lateral decubitus position
- Immediate delivery of fetus:
- Perimortem C-section w/in 5min of cardiac arrest if mother cannot be resuscitated
See Also
References
Tintinalli