Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"
Sunday, May 27, 2012
2 Phases of Amniotic Fluid Embolism (AFE)
Once the fluid and fetal cells enter the maternal
pulmonary circulation, usually AFE presents as 2 phases.
First phase:The patient
experiences acute shortness of breath which may lead to hypotension and cardiac
arrest. It is said that half of women does not survive beyond this
Second phase: Survivors of
first phase will pass onto the second phase. This is known as the hemorrhagic
phase and may be accompanied by severe shivering, coughing, vomiting, and the
sensation of a bad taste in the mouth. This is accompanied by excessive bleeding
due to DIC.