Anaphylactoid reaction possibly caused by amniotic fluid embolism

Howes, Lynn

doi:10.1016/0959-289x(95)82474-o

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…These findings are consistent with other similar case reports of amniotic fluid embolism. [12][13][14][15] It also revealed the presence of a large atrial septal defect, which explains the moderate cardiovascular collapse but more prominent initial central nervous system symptoms. We suspect that because of her ASD, part of the embolus travelled via the left side of the heart up to the cerebral circulation, and only part of embolus went to pulmonary circulation leading to moderate cardiovascular collapse and relatively quicker recovery.…”

Section: Discussionmentioning

confidence: 96%

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Paradoxical amniotic fluid embolism presenting before caesarean section in a woman with an atrial septal defect

Kumar

Khatwani

Aneja

et al. 2010

International Journal of Obstetric Anesthesia

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Section: Discussionmentioning

confidence: 96%

“…We observed the initial phase of this biphasic response but the patient did not subsequently progress to the second phase, not unlike the case reported by Howes. 15 We assume that the amount of debris entering the pulmonary circulation was relatively small because of the presence of the ASD.…”

Section: Discussionmentioning

confidence: 99%

Paradoxical amniotic fluid embolism presenting before caesarean section in a woman with an atrial septal defect

Kumar

Khatwani

Aneja

et al. 2010

International Journal of Obstetric Anesthesia

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“…The first phase lasts for about half an hour and responsible for fatality in most of the cases. [12][13][14] The onset of DIC was rapid and it was evident by the time the skin incision was being closed and vaginal toileting was being done. It was confirmed clinically while performing hysterectomy when there were multiple bleeding points which were difficult to control.…”

Section: Discussionmentioning

confidence: 99%

A case of amniotic fluid embolism and its sequelae during COVID-19 pandemic: a success story

Vishal¹,

Bhasin²,

Prasad³

2021

Int J Reprod Contracept Obstet Gynecol

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Amniotic fluid embolism (AFE) is an unforeseeable, life-threatening complication of pregnancy with an extremely high mortality rate. This is a complex disorder classically characterized by the abrupt onset of hypoxia, hypotension and consumptive coagulopathy. We experienced a patient who underwent caesarean delivery because of sudden cardiovascular collapse. Intra op she had DIC and was hemodynamically unstable. Surgery was able to complete with inotropes and vasopressors. In subsequent post op period, she had sepsis with MODS. The diagnosis of amniotic fluid embolism was made after other differential diagnosis had been ruled out. The successful outcome in our case is attributable to early recognition with immediate delivery of the fetus, high-grade resuscitation, timely hysterectomy and aggressive treatment of coagulopathy by blood and blood-products, involvement of multidisciplinary team, constant supervision by nursing staff with positive approach. From a grim situation of near death, the final outcome was a successful story.

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“…Both the phases were probably present in our patient but due to rapid development of events, these were difficult to differentiate. [ 15 ] The definitive diagnosis is mostly histological on autopsy with demonstration of squamous cells, mucin and other fetal debris in pulmonary microvasculature of deceased women; however, fetal squamous cells have been found in the blood of laboring women aspirated from pulmonary artery due to other reasons also, thus reducing the diagnosing accuracy of this test. [ 16 17 ]…”

Section: Discussionmentioning

confidence: 99%

Amniotic fluid embolism: A diagnostic dilemma

Kulshrestha

Mathur

2011

Anesth Essays Res

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Amniotic fluid embolism (AFE) is a rare obstetric catastrophe with an incidence of 7.7 per 100 000 deliveries and mortality as high as 60% to 80%. We describe a case of perioperative cardiac arrest in a young parturient undergoing an emergent cesarean section. Just after delivery of live healthy male baby, patient developed disseminated intravascular coagulation not responding to resuscitation with fluids and blood products. Her autopsy revealed edematous lungs with amniotic fluid debris within pulmonary vessels thus establishing the diagnosis of AFE. Amniotic fluid embolism is life threatening and difficult to predict or prevent condition, which should be always be kept in mind in a parturient with sudden cardiovascular collapse, so that resuscitation commences immediately, as early intervention is essential for a positive outcome.

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Anaphylactoid reaction possibly caused by amniotic fluid embolism

Cited by 5 publications

References 20 publications

Paradoxical amniotic fluid embolism presenting before caesarean section in a woman with an atrial septal defect

Paradoxical amniotic fluid embolism presenting before caesarean section in a woman with an atrial septal defect

A case of amniotic fluid embolism and its sequelae during COVID-19 pandemic: a success story

Amniotic fluid embolism: A diagnostic dilemma

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