Amniotic Fluid Embolism: Using the Medical Staff Process to Facilitate Streamlined Care
Amniotic fluid embolism (AFE) is a catastrophic consequence of labor and delivery that often results in maternal and neonatal death. These poor outcomes are related largely to the rarity of the event in a population overwhelmingly biased by overall good health. Despite the presence of national AFE r...
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| Veröffentlicht in: | Permanente journal 2016-01, Vol.20 (4), p.15-248 |
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| creator | Hession, Peter M Millward, Cynthia J Gottesfeld, Joyce E Rehring, Thomas F Miller, Kevin B Chetham, Paul M Muckleroy, S Kel Bates, Christopher A Hollis, Jr, Harris W |
| description | Amniotic fluid embolism (AFE) is a catastrophic consequence of labor and delivery that often results in maternal and neonatal death. These poor outcomes are related largely to the rarity of the event in a population overwhelmingly biased by overall good health. Despite the presence of national AFE registries, there are no published algorithmic approaches to its management, to our knowledge. The purpose of this article is to share a care pathway developed by a multidisciplinary group at a community teaching hospital. Post hoc analysis of a complicated case of AFE resulted in development of this pathway, which addresses many of the major consequences of AFE. We offer this algorithm as a template for use by any institution willing to implement a clinical pathway to treat AFE. It is accompanied by the remarkable case outcome that prompted its development. |
| doi_str_mv | 10.7812/TPP/15-248 |
| format | Article |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Algorithms Clinical Protocols Delivery, Obstetric - adverse effects Embolism, Amniotic Fluid - etiology Embolism, Amniotic Fluid - therapy Female Humans Medical Staff Original Research & Contributions Pregnancy Registries |
| title | Amniotic Fluid Embolism: Using the Medical Staff Process to Facilitate Streamlined Care |
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