Amniotic Fluid Embolism during Dilation and Evacuation during 2nd Trimester Treated by ACLS Guidelines, ECMO and Dialysis: A Case Report
Sylvia H. Wilson1, Phillip A. Rodriguez2, Gweneth B. Lazenby3, Angela R. Dempsey4
Affiliation
- 1Associate Professor, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, USA
- 2Obstetrics and Gynecology Resident, Department of Obstetrics and Gynecology, Medical University of South Carolina, USA
- 3Assistant Professor, Department of Obstetrics and Gynecology, Medical University of South Carolina, USA
- 4Associate Professor, Department of Obstetrics and Gynecology, Medical University of South Carolina, USA
Corresponding Author
Catherine D. Tobin, 167 Ashley Avenue, MSC 912, Suite 301, Charleston, SC 29425, Tel: 843792 2322, E-mail: tobinc@musc.edu
Citation
Tobin, C.D., et al. Amniotic Fluid Embolism during Dilation and Evacuation during 2ndTrimester Treated by ACLS Guidelines, ECMO and Dialysis: A Case Report. (2017) J Anesth Surg 4(1): 36- 38.
Copy rights
© 2017 Tobin, C.D. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Amniotic fluid embolism (AFE) is a rare and often fatal complication of pregnancy. While supportive therapy is in the primary goal, more invasive measures have been introduced in an attempt to improve outcomes in severe cases. We present the case of a 35 year old G3P2 female with an intrauterine fetal demise who underwent outpatient dilation and evacuation during her second trimester. AFE presentation and management are discussed including utilization of Extracorporeal Membrane Oxygenation as a supportive intervention in cases of profound and rapid cardiovascular collapse.
