SCCM Resource Library-Postpartum Nonhemorrhagic Complications

Video Transcription

Video Summary

Amniotic fluid embolism is a rare and potentially life-threatening complication that can occur during or after childbirth. It is characterized by a triad of symptoms including cardiorespiratory collapse, increased pulmonary vascular resistance, and disseminated intravascular coagulation. While the exact cause of amniotic fluid embolism is not fully understood, it is believed to involve a disruption of the maternal-fetal interface and an immune response similar to anaphylaxis. Amniotic fluid embolism is a clinical diagnosis that should be considered in any pregnant or recently pregnant patient who experiences sudden cardiovascular collapse. Treatment focuses on stabilizing the patient and providing supportive care, including high-quality chest compressions, left uterine displacement, and early delivery if necessary. Management strategies also include addressing RV failure, LV failure, and coagulopathy. While amniotic fluid embolism is rare, it requires a multidisciplinary approach and should be managed with a sense of urgency.

Asset Subtitle

Obstetrics, 2022

Asset Caption

This session will cover hot topics in critical care obstetrics such as treating pregnant patients with respiratory failure, shock, COVID-19, congenital heart disease, cardiomyopathy, and other complex issues, such as advanced maternal age.

Meta Tag

Content Type Presentation

Knowledge Area Obstetrics

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Obstetrics

Year 2022

Keywords

Amniotic fluid embolism

childbirth complication

cardiorespiratory collapse

pulmonary vascular resistance

disseminated intravascular coagulation

maternal-fetal interface disruption

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