Hypotension (90/39 mmHg), tachycardia (108/minute) and cyanosis were also noticed. Soon after the initial bolus administration of 1 mL of 0.25% bupivacaine and 20 µg fentanyl in the intrathecal space, the patient complained of nausea. Five hours later, she had spinal-epidural analgesia to relieve pain due to uterine contractions. She had artificial rupture of the membranes. She had cervical ripening with a Foley catheter for 24 hours followed by oxytocin administration. Ī 31-year-old healthy primigravida at 40 weeks of gestation was admitted to the delivery room for labor induction due to fetal macrosomia. Over the last few years, publications describing simulation-based training programs for obstetric crisis have proved to be efficient and allow better recognition and care of critical obstetric situations.
We report a case of AFE with favorable outcome due to fast and efficient multidisciplinary care, emphasizing the benefit of having been trained for such emergency situations. In a situation of severe systemic disease, maternal survival is largely dependent on the combined efficacy of gynecological and anesthetic teams. Moreover, AFE clinical presentation can range from moderate organ dysfunction to cardiovascular collapse with disseminated intravascular coagulation (DIC), which can be mistaken with other conditions. According to literature, its incidence is difficult to establish due to the various criteria used to assess the diagnosis. Simulation and team training programs for obstetrical emergency management.Īmniotic fluid embolism (AFE) is a rare, unpredictable and unpreventable event with high maternal and fetal morbidity and mortality. Outcome was favorable due to fast and efficient multidisciplinary care,Įmphasizing the benefit of having been trained for such situations through Which was complicated by uterine atony and DIC requiring hysterectomy.
Due to a loss of consciousness soon after epidural anesthesiaĪssociated to fetal bradycardia, an emergency caesarean section was performed Report a case of AFE in a healthy woman admitted to the delivery room for labor In a situation of severe systemic disease, maternal survival is largelyĭependent on the combined efficacy of gynecological and anesthetic teams. Presentation is nonspecific ranging from moderate organ dysfunction to cardiovascularĬollapse with disseminated intravascular coagulation (DIC), which can lead toĭeath. Amniotic fluid embolism (AFE) is a rare, unpredictable and unpreventableĮvent with high maternal and fetal morbidity and mortality.
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