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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Teratogenicity01:07

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
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Pulmonary Embolism III: Nursing Management01:27

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Amniotic Fluid Embolism After First-Trimester Abortion.

Subrat Panda1, Ananya Das1, Nalini Sharma1

  • 1Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND.

Cureus
|June 2, 2022
PubMed
Summary

Amniotic fluid embolism (AFE) is a rare complication following first-trimester medical termination of pregnancy. This case highlights the critical need for prompt multidisciplinary intervention in suspected AFE cases.

Keywords:
amniotic fluid embolismanaemiadicfirst trimester mtprespiratory distress

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Area of Science:

  • Obstetrics and Gynecology
  • Critical Care Medicine
  • Maternal-Fetal Medicine

Background:

  • Amniotic fluid embolism (AFE) is a rare but often fatal complication of pregnancy.
  • Medical termination of pregnancy (MTP) in the first trimester is generally considered safe, with AFE being an exceptionally rare occurrence.

Observation:

  • A 35-year-old woman underwent medical termination of pregnancy and bilateral tubal ligation at six weeks gestation.
  • Post-procedure, she rapidly developed severe respiratory distress, hypotension, tachycardia, and abdominal distension.
  • Laparotomy revealed ascitic fluid, petechiae on the bowels, and diffuse wound oozing.

Findings:

  • The patient expired within 24 hours of the procedure.
  • Clinical presentation and intraoperative findings were highly suggestive of amniotic fluid embolism.
  • This case represents an extremely rare instance of AFE following first-trimester MTP.

Implications:

  • Early and strong clinical suspicion of AFE is crucial for timely management.
  • A multidisciplinary team approach involving anesthesia, respiratory therapy, critical care, and maternal-fetal medicine is essential for managing AFE.
  • Increased awareness of AFE as a potential complication, even after early pregnancy interventions, is warranted.