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Delayed amniotic fluid embolism following Caesarean section under spinal anaesthesia (1995)

Margarson, M. P.

Oxford, UK : Blackwell Publishing Ltd

Anaesthesia 50 (1995), S. 0

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ISSN: 1365-2044

Source: Blackwell Publishing Journal Backfiles 1879-2005

Topics: Medicine

Notes: A case of amniotic fluid embolus is described with an acute onset occurring 90 min after surgical delivery in a mildly pre-eclamptic primigravida undergoing Caesarean section for a breech presentation. Severe disseminated intravascular coagulation and massive postpartum haemorrhage were corrected and she went on to make a full recovery. The pathophysiology of amniotic fluid embolism is discussed and new diagnostic tests are reviewed. It is suggested that in this patient an amniotic fluid collection in dilated uterine veins was mobilised as venous tone returned following the offset of spinal anaesthesia and sympathetic blockade.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1111/j.1365-2044.1995.tb06145.x

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