Survival of a patient with amniotic fluid embolism based on multidisciplinary team training: a case report of a swiss university hospital

Article Article scientifique Rapport de cas Survival of a patient with amniotic fluid embolism based on multidisciplinary team training: a case report of a swiss university hospital fre 2019 author Theintz Florence 592567 author Haller Guy Serge Antoine 28638 author Pfister Riccardo 527070 author Martinez De Tejada Weber Begona 590919 author Eperon Isabelle 506900 216-222 10.4236/ojog.2019.92022 2160-8792 http://www.scirp.org/journal/doi.aspx?DOI=10.4236/ojog.2019.92022 Amniotic fluid embolism (AFE) is a rare, unpredictable and unpreventable event with high maternal and fetal morbidity and mortality. Its clinical presentation is nonspecific ranging from moderate organ dysfunction to cardiovascular collapse with disseminated intravascular coagulation (DIC), which can lead to death. In a situation of severe systemic disease, maternal survival is largely dependent on the combined efficacy of gynecological and anesthetic teams. We report a case of AFE in a healthy woman admitted to the delivery room for labor induction. Due to a loss of consciousness soon after epidural anesthesia associated to fetal bradycardia, an emergency caesarean section was performed which was complicated by uterine atony and DIC requiring hysterectomy. The outcome was favorable due to fast and efficient multidisciplinary care, emphasizing the benefit of having been trained for such situations through simulation and team training programs for obstetrical emergency management. Amniotic Fluid Embolism Obstetrics Simulation Team Training Dewey 617 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 424 Réanimation néonatale en salle d'accouchement 696 Open journal of obstetrics and gynecology 09 02 701a82c6-c36b-4b6f-8a10-f7aa67b2160d Article (Published version) Public Survival_of_a_Patient_with_Amniotic_Fluid_Embolism(2).pdf 232870 application/pdf CC BY openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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Survival of a patient with amniotic fluid embolism based on multidisciplinary team training: a case report of a swiss university hospital	Open journal of obstetrics and gynecology			2019	376	262

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Theintz, Florence