Table 1 Clinical characteristics of patients with confirmed amniotic fluid embolism rescued by VA-ECMO
From: Amniotic fluid embolism rescued by venoarterial extracorporeal membrane oxygenation
N = 10 | |
|---|---|
Age, years | 33 (24–40) |
Body mass index, kg/m2 | 27 (21–35) |
SAPS 2 score | 69 (56–81) |
SOFA score | 13 (9–17) |
Parity, n | 2 (1–4) |
Gestation, weeks | 36 (30–41) |
Amniotic embolism risks factors | |
Maternal age > 35 years | 6 (60) |
Pre-eclampsia | 1 (10) |
Placenta insertion abnormalities or hydramnios | 2 (20) |
Multiple pregnancy | 0 (0) |
Medically induced labor | 3 (30) |
C-section delivery | 4 (40) |
Instrumental assisted delivery | 3 (30) |
Gestational diabetes | 3 (30) |
Obstetric and anesthetic procedure | |
Cesarean section | 4 (40) |
Vaginal delivery | 6 (60) |
Emergency procedure | 4 (40) |
Epidural analgesia | 9 (90) |
General anesthesia | 1 (10) |
Clinical presentation | |
Cardiac arrest | 7 (70) |
Cardiovascular collapse | 9 (90) |
Acute respiratory failure | 3 (30) |
Disseminated intravascular coagulation | 10 (100) |
Modified ISTH score * | 3.5 (3–5) |
Altered mental status or seizures | 1 (10) |
Fetal distress | 4 (40) |
Amniotic fluid embolism markers | |
Serum insulin-like growth factor binding protein-1 > 150 μg/L § | 5 (62) |
Fetal material or squamous cells in the maternal BAL £ | 5 (62) |