Extracorporeal cardiopulmonary resuscitation for amniotic fluid embolism : (Record no. 9689)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02813nam a22002297a 4500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240814100201.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240814b ph ||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | OCT |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Sundin, Courtney Stanley |
| 240 ## - UNIFORM TITLE | |
| Uniform title | The american journal of maternal / child nursing / |
| Medium | January/February 2024 |
| 245 ## - TITLE STATEMENT | |
| Title | Extracorporeal cardiopulmonary resuscitation for amniotic fluid embolism : |
| Remainder of title | Review and case report / |
| Statement of responsibility, etc. | Courtney Stanley Sundin, Laura Gomez, and Brian Chapman |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Vol 49 (1) pages 29-37 : |
| Other physical details | illustrations ; |
| Dimensions | 26 cm |
| 500 ## - GENERAL NOTE | |
| General note | Abstract<br/><br/>Amniotic fluid embolism (AFE) is a rare, sudden, and catastrophic complication of pregnancy that can result in cardiopulmonary arrest, potentially leading to death. The pathophysiology of an AFE includes an inflammatory and coagulopathic response due to fetal materials entering maternal circulation with the hallmark triad of symptoms: acute respiratory distress, cardiovascular collapse, and coagulopathy. Management of AFE should include high-quality cardiopulmonary resuscitation, immediate delivery of the fetus if applicable, early intubation to provide adequate oxygenation and ventilation, fluid volume resuscitation, and ongoing evaluation of coagulopathy. Priorities include thromoboelastog-raphy interpretation if available, control of hemorrhage and coagulopa-thy with blood component therapy, and cardiovascular support through inotropes and vasopressor administration. More recent approaches include implementing the A-OK (atropine, ondansetron, and ketorolac) protocol for suspected AFE protocol, extracorporeal cardiopulmonary resuscitation (ECPR), and extracorporeal membrane oxygenation (ECMO) therapies to increase survival and decrease complications. Venoarte-rial ECMO is the highest form of life support that provides support in patients with pulmonary and cardiac failure. ECPR is the application of Venoarterial ECMO during cardiopulmonary resuscitation in cases where the cause of arrest is believed to be reversible. Early implementation of ECPR during the acute phase of AFE can provide support for end-organ perfusion in place of the weakened and recovering heart while optimizing oxygenation, making venoarterial ECMO an ideal adjunctive therapy.<br/>Because of the rarity of AFE, many obstetrical teams may have limited prior experience in managing these catastrophic cases; however, with ongoing education and simulation, teams can be better prepared in the recognition and management of these life-threatening events.<br/> |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Amniotic fluid |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Cardiopulmonary resuscitation |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Disseminated intravascular coagulation |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Extracorporeal membrane oxygenation |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | pregnancy complications |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gomez, Luara |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chapman, Brian |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Continuing Resources |
| Suppress in OPAC | No |
No items available.