Early recognition and mobilization of resources in managing amniotic fluid embolism for a high-risk obstetric patient: A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2024-07-10 DOI:10.1016/j.crwh.2024.e00634
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引用次数: 0

Abstract

A 33-year-old woman, gravida 3 para 2, at 39 weeks of gestation, undergoing induction of labor, had a seizure. She was transferred to the operating room and underwent a cesarean delivery for non-reassuring fetal status. An amniotic fluid embolism (AFE) was suspected given her cardiovascular collapse, disseminated intravascular coagulation, and early right heart failure. Early mobilization of resources (e.g., blood bank, gynecology oncology, extracorporeal membrane oxygenation) was necessary as the hospital was in a stand-alone building. Biomarkers were sent during the acute event. The creation of an AFE order set is discussed.

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及早识别并调动资源,处理高危产科病人的羊水栓塞:病例报告
一名怀孕 39 周的 33 岁女性,胎位 3 段 2,在接受引产手术时突然癫痫发作。由于胎儿状况无法保证,她被转入手术室并接受了剖宫产。考虑到她的心血管衰竭、弥散性血管内凝血和早期右心衰竭,医生怀疑是羊水栓塞(AFE)。由于医院是独立大楼,因此必须及早调动资源(如血库、妇科肿瘤、体外膜肺氧合)。在急性事件期间,生物标记物被送往医院。本文讨论了如何创建 AFE 订单集。
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来源期刊
Case Reports in Women's Health
Case Reports in Women's Health Medicine-Obstetrics and Gynecology
CiteScore
2.10
自引率
0.00%
发文量
89
审稿时长
7 days
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