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Canadian Journal of Anesthesia, Vol 40, 971-980, Copyright © 1993 by Canadian Anesthesiologists' Society

ARTICLES

Amniotic fluid embolus

WH Noble and J St-Amand
Department of Anaesthesia, St. Michael's Hospital, Toronto, Ontario.

A case report of a 27-yr-old healthy patient for Caesarean section under epidural anaesthesia is presented. The patient suffered an acute cardiorespiratory collapse when the infant's head was being delivered through the anterior abdominal wall. The patient remained cyanosed after proper tracheal intubation and pulmonary ventilation with 100% O2. Hypotension was difficult to treat but returned to normal 25 min after the event. A pulmonary artery catheter inserted three hours after the event showed normal pressures and a high cardiac output. The patient suffered permanent neurological damage. The differential diagnosis is discussed and current concepts of the aetiology and management of amniotic fluid embolism reviewed.


This article has been cited by other articles:


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 Canadian J. AnesthesiaHome page
S. Davies
Amniotic fluid embolus: a review of the literature
Can J Anesth, January 1, 2001; 48(1): 88 - 98.
[Abstract] [Full Text] [PDF]

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 NEJMHome page
M. F. Greene, D. J. Roberts, and E. J. Mark
Case 9-1998- Cardiovascular Collapse after Vaginal Delivery in a Patient with a History of Cesarean Section
N. Engl. J. Med., March 19, 1998; 338(12): 821 - 826.
[Full Text] [PDF]


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Copyright © 1993 by the Canadian Anesthesiologists' Society.