ICU SAQs · Obstetric critical care
Amniotic fluid embolism — diagnosis and ICU management
CICM Second-Part SAQ: clinical diagnosis of AFE (SMFM), resuscitation, coagulopathy correction, delivery after arrest, and VA-ECMO with the 2016 not-routine caveat.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A woman collapses with sudden hypoxia and hypotension 10 minutes after a vaginal delivery, then develops severe bleeding from all sites. Outline the management.
Question
A woman collapses with sudden hypoxia and hypotension 10 minutes after a vaginal delivery, then develops severe bleeding from all sites. Outline the management.[1]
References6ShowHide
- [1]Pacheco LD, Saade G, Hankins GD, Clark SL Amniotic fluid embolism: diagnosis and management Am J Obstet Gynecol, 2016.PMID 26987420
- [2]Clark SL, Romero R, Dildy GA, et al. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies Am J Obstet Gynecol, 2016.PMID 27372270
- [3]Fitzpatrick KE, Tuffnell D, Kurinczuk JJ, et al. Incidence, risk factors, management and outcomes of amniotic-fluid embolism: a population-based cohort and nested case-control study BJOG, 2016.PMID 25683758
- [4]WOMAN Trial Collaborators Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN) Lancet, 2017.PMID 28456509
- [5]Viau-Lapointe J, Filewod N Extracorporeal Therapies for Amniotic Fluid Embolism Obstet Gynecol, 2019.PMID 31599831
- [6]Sultan P, Seligman K, Carvalho B Amniotic fluid embolism: update and review Curr Opin Anaesthesiol, 2016.PMID 27153475