Q: All of the following can be used as a rescue treatment in life-threatening Amniotic Fluid Embolism (AFE) except?

A) blood products including Factor 7
B) pressors
C) pulmonary artery catheterization
D) Hemodialysis with plasmapheresis
E) extracorporeal membrane oxygenation (ECMO)


Answer: C

Management for AFE is supportive with IVF, pressors, blood products as needed to counter DIC bleeding. ECMO can be use as a rescue therapy. Hemodialysis with plasmapheresis has been reported with some success.

Pulmonary Artery Catheter may help in diagnosing AFE by collecting fetal squamous cell via distal port but itself is not a therapy of AFE.