AMNIOTIC FLUID EMBOLISM

Question 1

CONSEQUENCES:

Answer 1

1. Anapylaxis
   - Sudden dyspnoea
   - Hypoxia
   - Hypotension
   - Seizures
   - Cardiac Arrest
2. Acute Heart Failure
   - Pulmonary oedema
3. DIC
   - haemorrhage from DIC maybe first presentation
4. Adult respiratory distress syndrome(ARDS)

Question 2

RISK FACTORS:

Answer 2

1. Ruptured membranes
   - during labour, C-section, TOP
2. Polyhydraminos
3. Maternal age
4. IOL

Question 3

MANAGEMENT;

Answer 3

1. Resus
2. O2
3. Fluids with CVP monitoring
4. Bloods
   - FBC, U&E, coagulation, cross-match
5. Blood and FFP
6. Transfer to ICU

Question 4

CLINICAL FEATURES:

Answer 4

1. Majority occur during labour but also during C-section and postpartum
2. Symptoms: Chills, shivering, sweating, anxiety, coughing
3. Signs: cyanosis, hypotension, bronchospasms, tachycardia, arrhythmia, MI