scholarly journals Successful Application of Extracorporeal Membrane Oxygenation for a Patient with Clinical Amniotic Fluid Embolism

2015 ◽  
Vol 30 (4) ◽  
pp. 303-307 ◽  
Author(s):  
Hye Seon Kang ◽  
Hwa Young Lee ◽  
Hea Yon Lee ◽  
Seok Chan Kim
2019 ◽  
Author(s):  
Sumon Roy ◽  
Nishit Biniwale ◽  
Venkata Pendela ◽  
Patricia Oates ◽  
Katrina Wojciechowski ◽  
...  

Amniotic fluid embolism (AFE) is one of the most devastating complications of pregnancy that typically manifests as acute cardiopulmonary collapse during delivery or in the postpartum period. The potential role of extracorporeal membrane oxygenation (ECMO) as a management technique in severe cases of AFE remains largely unknown. In this report, we present the first case, to our knowledge, of successful implementation of ECMO as a life-saving measure in a case of hemorrhagic shock due to postpartum bleeding complicated by severe AFE leading to acute respiratory distress syndrome (ARDS) ultimately requiring tracheostomy. Hemodynamic decompensation is often rapid but transient in cases of severe AFE, and we recommend early consideration of ECMO implementation given its vital utility in these critical moments.


2009 ◽  
Vol 47 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Chang-Hsun Ho ◽  
Kuen-Bao Chen ◽  
Shih-Kai Liu ◽  
Yu-Fang Liu ◽  
Hung-Chun Cheng ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Robert Gitman ◽  
Bradlee Bachar ◽  
Byron Mendenhall

Amniotic fluid embolism (AFE) is an extremely rare yet fatal obstetric emergency. AFE presents as sudden cardiovascular collapse after a breach of maternal-fetal membranes and is often complicated by severe coagulopathy. We present a case where an AFE was treated with veno-arterial extracorporeal membrane oxygenation (ECMO) to help overcome the acute cardiopulmonary insult. The use of echocardiography proved to be an invaluable tool to help guide treatment and optimal duration of ECMO in the face of severe coagulopathy.


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