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    Amniotic Fluid Embolism

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    manju
    This document discusses amniotic fluid embolism, a leading cause of maternal death. It has no known prevention or treatment. Symptoms include convulsions, coagulation problems, respiratory distress, and collapse. Risk factors include oxytocin use, artificial rupture of membranes, and combined use of prostaglandins and oxytocin. Diagnosis is clinical or confirmed by finding fetal debris in the lungs. Rapid deterioration and little rescue time occur. Prevention focuses on avoiding risk factors and aggressive resuscitation when it occurs.

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    Amniotic Fluid Embolism

    Uploaded by

    manju
    109 views18 pages
    This document discusses amniotic fluid embolism, a leading cause of maternal death. It has no known prevention or treatment. Symptoms include convulsions, coagulation problems, respiratory distress, and collapse. Risk factors include oxytocin use, artificial rupture of membranes, and combined use of prostaglandins and oxytocin. Diagnosis is clinical or confirmed by finding fetal debris in the lungs. Rapid deterioration and little rescue time occur. Prevention focuses on avoiding risk factors and aggressive resuscitation when it occurs.

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    AMNIOTIC FLUID EMBOLISM.pptx

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    This document discusses amniotic fluid embolism, a leading cause of maternal death. It has no known prevention or treatment. Symptoms include convulsions, coagulation problems, respiratory distress, and collapse. Risk factors include oxytocin use, artificial rupture of membranes, and combined use of prostaglandins and oxytocin. Diagnosis is clinical or confirmed by finding fetal debris in the lungs. Rapid deterioration and little rescue time occur. Prevention focuses on avoiding risk factors and aggressive resuscitation when it occurs.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    109 views18 pages

    Amniotic Fluid Embolism

    Uploaded by

    manju
    This document discusses amniotic fluid embolism, a leading cause of maternal death. It has no known prevention or treatment. Symptoms include convulsions, coagulation problems, respiratory distress, and collapse. Risk factors include oxytocin use, artificial rupture of membranes, and combined use of prostaglandins and oxytocin. Diagnosis is clinical or confirmed by finding fetal debris in the lungs. Rapid deterioration and little rescue time occur. Prevention focuses on avoiding risk factors and aggressive resuscitation when it occurs.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    AMNIOTIC FLUID EMBOLISM

    MANAGEMENT
    • One of the leading cause of death
    • 27 /331 deaths in 4yrs (CRMD )
    UNPREDICTABLE

    UNPREVENTABLE

    UNTREATABLE
    SYMPTOMS
    • Convulsion
    • Coagulation problems
    • Chest discomfort- pain,dyspnoea
    • Restlessness
    • Vomiting
    • Collapse

    • Cardio respiratory Arrest


    Predisposing Factors
    • Oxytocics--- Hyper stimulation
    • ARM
    • Combined use of Prostaglandin & Pitocin
    • Use of smooth muscle relaxants
    When?
    • Labour (late stage)
    • Immediate postpartum
    • Upto 30 min after delivery
    Common Scenario
    • Woman becoming a/c dyspnoeic, cough
    Change in behavior
    peripheral cyanosis
    confusion
    Hypotension
    Seizures
    Coma
    Diagnosis
    • Clinical finding
    • Confirmed – fetal squamus & lanugo hair in
    pulmonary vasculature
    NOT PREVENTABLE
    Rapid deterioration
    Little time for rescue
    Prevention of predisposing factors
    • Do not combine PG & Oxytocin
    • Do not use PG in soft , well effaced cervix
    • Interval between PG
    PG E2 -6 hrs
    PG E 1 -4hrs
    Management
    • Early Recognition
    • Aggressive resuscitation
    • Resuscitation Trolley
    regularly checked
    expiry date of drugs
    • A person identified for maintenance (Head
    Nurse)
    • Laryngoscope, Ambubag
    Code Blue
    • Mechanism to quickly summon

    Anesthesiologist
    Physician
    Cardiologist
    Blood & blood products
    • Written Protocols
    dose
    route of administration
    displayed in LR
    • Drills

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