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Venoarterial Extracorporeal Membrane Oxygenation as Supportive Therapy After Cardiac Arrest After Amniotic Fluid

Claire Depondt1, Darko Arnaudovski1, Audrey Voulgaropoulos2

  • 1From the Departments of Anesthesiology and Surgical Intensive Care.

A&A Practice
|March 14, 2019
PubMed

Amniotic fluid embolism is a rare but dreaded complication of pregnancy, with an incidence between 2 and 7/100,000 deliveries. We report an amniotic fluid embolism after urgent cesarean delivery diagnosed on a cardiac arrest, complicated by cardiogenic shock and acute respiratory distress syndrome. This report describes the indication, efficacy, and success of venoarterial extracorporeal membrane oxygenation in the early management of cardiac arrest, cardiac failure driven by amniotic fluid embolism, and acute respiratory distress syndrome. The use of venoarterial extracorporeal membrane oxygenation support after recovery from cardiac arrest after amniotic fluid embolism should be considered early during the management of these cases.

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