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About the Best Treatment of Amniotic Fluid Embolism

2019.08.23 / Friday
About the Best Treatment of Amniotic Fluid Embolism

First let's look at what amniotic fluid embolism is.

Amniotic fluid embolism (AFE) is a rare complication of birth and remains a major cause of maternal mortality even in developed countries.

Because amniotic fluid embolism may cause up to 60% mortality, its clinical characteristics can be summarized as: rapid development, dangerous condition, difficult to predict in advance.

In the event of amniotic fluid embolism in pregnant women, medical staff should immediately follow the first aid formula of amniotic fluid embolism.

In view of its dangerous nature, it is recommended to take a multidisciplinary approach in clinical treatment and timely and effective multidisciplinary approach, which has a crucial impact on the success rate of rescue and the improvement of prognosis.

The best treatment is symptomatic treatment according to the three characteristic clinical manifestations of amniotic fluid embolism.

For women with cardiac and respiratory arrest: standard basic cardiac life support (BLS) and advanced cardiac life support (ALS) in accordance with the cardiopulmonary resuscitation (CPR) procedure.

Evidence-based medicine tells us that once a woman has cardiac and respiratory arrest, try to deliver the newborn within 5 minutes, which is beneficial to both the mother and the newborn.

For parturient women with dyspnea, hypoxemia or both: maintain airway patency, provide adequate oxygen, and conduct tracheal intubation for positive pressure ventilation when necessary.

Medical Temperature probe is used to monitor maternal temperature in real time to avoid aggravating symptoms of hypothermia.

For pregnant women with severe symptoms: seek multidisciplinary cooperation in time, and provide support such as extracorporeal membrane pulmonary oxygenation (ECMO), intra-aortic balloon counterpulsation, cardiopulmonary bypass, etc. When necessary.