Effective Management Of Patients With Amniotic Fluid Embolism In The Intensive Care Unit: Two Case Reports

Abstract

Amniotic Fluid Embolism (AFE) is a rare complication of the intra-and early post-partum period, which may also be encountered with cesarean delivery and during abortions. Its symptompatology includes respiratory distress with cyanosis, shock and possibly tonic-clonic seizures. Disseminated intravascular coagulation (DIC) frequently occurs and is usually fatal. The aim of this study is to present the positive outcome and our gained experience from two cases suffering from AFE. Thus, we analyze the case of two patients, in the second trimester of pregnancy, who presented symptoms of AFE. Our paper reveals that in the case of patients with AFE, early diagnosis, prompt management and proper treatment increase survival rate and may ensure complete recovery in a relatively short period of time. However, DIC is a serious aggravating factor, which makes the recovery process slower.

Paraffin Oil Pneumonitis During Pregnancy: A Case Report

“…Pulmonary embolism was taken into consideration but a venous duplex Doppler sonography excluded DVT since there was no right ventricle strain, there was no pleuritic pain or hemoptysis [8]. More so, amniotic fluid embolism was unlikely because of lack of cardiovascular collapse, seizers or disseminated intravascular coagulation, risk factors such as labor, multiparity, amniotomy, uterine manipulations, trauma [9]. Air embolism was also excluded because there were no intravenous manipulations [10,11].…”