Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2758595 | International Journal of Obstetric Anesthesia | 2007 | 5 Pages |
Abstract
SummaryWe describe a case of amniotic fluid embolism presenting as cardiovascular collapse during labour. After initial resuscitation and emergency caesarean section, the patient was transferred to the intensive care unit with profound hypoxaemia, a high inotropic drug requirement and severe coagulopathy. A transoesophageal echocardiogram demonstrated acute right ventricular overload, severe pulmonary artery hypertension and marked diastolic dysfunction of the left ventricle secondary to a dilated right ventricle. The introduction of nitric oxide at 40 ppm produced a dramatic improvement in her cardiorespiratory status. Mother and baby both survived with no apparent long term sequelae.
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Authors
N.J. McDonnell, B.O. Chan, R.W. Frengley,