Amniotic Fluid Embolism Treated With Inhaled Milrinone: A Case Report
| Autor: | Fred Baxter, Amanda Whippey |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Embolism
Amniotic Fluid medicine.medical_specialty Amniotic fluid medicine.medical_treatment Hemodynamics Amniotic fluid embolism Pregnancy Internal medicine Hypoxic pulmonary vasoconstriction medicine Extracorporeal membrane oxygenation Humans business.industry Cesarean Section Vasospasm Shock General Medicine medicine.disease medicine.anatomical_structure Vascular resistance Cardiology Milrinone Female Vascular Resistance business medicine.drug |
| Zdroj: | AA practice. 14(13) |
| ISSN: | 2575-3126 |
| Popis: | We present a patient with sudden cardiovascular collapse during cesarean delivery that was attributed to amniotic fluid embolism (AFE). The syndrome of AFE may be initiated by an anaphylactoid response to amniotic fluid in the maternal circulation that triggers the release of pulmonary vasoconstrictors, with transient pulmonary vasospasm, causing hemodynamic collapse and profound left ventricular failure. Milrinone, a pulmonary vasodilator used in the management of emergent right ventricular failure, was administered via a nebulizer in an effort to decrease pulmonary vascular resistance. If used immediately after AFE, inhaled milrinone may mitigate pulmonary vasoconstriction, providing a bridge to extracorporeal membrane oxygenation. |
| Databáze: | OpenAIRE |
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