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Probable Amniotic Fluid Embolism During Curettage for a Missed Abortion

A Case Report

DAVID ERIC LEES, MD^*, YOUNG SHIN, MD, and THOMAS E. MACNAMARA, MB, ChB

*Director, Obstetrical Anesthesia, Department of Anesthesia, Georgetown University School of Medicine, Washington, DC 20007. Fellow, Department of Anesthesia, Department of Anesthesia, Georgetown University School of Medicine, Washington, DC 20007. Professor and Chairman, Department of Anesthesia, Georgetown University School of Medicine, Washington, DC 20007.

Abstract

Diagnosis of amniotic fluid embolism is difficult in a patient under general anesthesia and may initially resemble several other conditions. Successful treatment requires maintenance of adequate cardiac output and oxygenation and prompt heparin treatment of the disseminated intravascular coagulation. The presented case exemplifies another group of patients who are at risk for amniotic fluid embolism.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999