Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Obstet Anesth. 2007 Jul;16(3):269-73. Epub 2007 Mar 6.

Rapid reversal of critical haemodynamic compromise with nitric oxide in a parturient with amniotic fluid embolism.

Author information

  • 1Department of Anaesthesia, Waikato Hospital, Hamilton, New Zealand. nolanvini@mac.com

Abstract

We describe a case of amniotic fluid embolism presenting as cardiovascular collapse during labour. After initial resuscitation and emergency caesarean section, the patient was transferred to the intensive care unit with profound hypoxaemia, a high inotropic drug requirement and severe coagulopathy. A transoesophageal echocardiogram demonstrated acute right ventricular overload, severe pulmonary artery hypertension and marked diastolic dysfunction of the left ventricle secondary to a dilated right ventricle. The introduction of nitric oxide at 40 ppm produced a dramatic improvement in her cardiorespiratory status. Mother and baby both survived with no apparent long term sequelae.

PMID:
17337177
DOI:
10.1016/j.ijoa.2006.10.008
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center