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Amniotic Fluid Embolism Treated With Inhaled Milrinone: A Case Report
Frederick J Baxter1, Amanda Whippey
1From the Department of Anesthesia, McMaster University, Hamilton, Ontario.
A&A Practice
|November 13, 2020
Summary
Amniotic fluid embolism (AFE) can cause sudden cardiovascular collapse. Inhaled milrinone may help manage AFE by reducing pulmonary vasoconstriction, potentially bridging patients to ECMO.
Area of Science:
- Cardiology
- Obstetrics & Gynecology
- Anesthesiology
Background:
- Sudden cardiovascular collapse during cesarean delivery is a critical obstetric emergency.
- Amniotic fluid embolism (AFE) is a rare but catastrophic condition characterized by cardiovascular collapse.
- AFE may involve an anaphylactoid response leading to pulmonary vasoconstriction and left ventricular failure.
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