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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

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Published in Open journal of obstetrics and gynecology. 2019, vol. 09, no. 02, p. 216-222
Abstract 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.
Keywords Amniotic Fluid EmbolismObstetricsSimulationTeam Training
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Research group Réanimation néonatale en salle d'accouchement (696)
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THEINTZ, Florence et al. Survival of a patient with amniotic fluid embolism based on multidisciplinary team training: a case report of a swiss university hospital. In: Open journal of obstetrics and gynecology, 2019, vol. 09, n° 02, p. 216-222. doi: 10.4236/ojog.2019.92022 https://archive-ouverte.unige.ch/unige:142180

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Deposited on : 2020-09-29

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