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Case Report
Atypical amniotic fluid embolism successfully treated with a novel protocol: A case report
1 Student Researcher, Department of Gynecology and Obstetrics, Loma Linda University School of Medicine, Loma Linda, CA, USA
2 DO, MPH, Assistant Professor of Gynecology and Obstetrics, Department of Gynecology and Obstetrics, Loma Linda University Medical Center, Loma Linda, CA, USA
Address correspondence to:
Andrea Salcedo
DO, MPH, Department of Gynecology and Obstetrics, Loma Linda University Medical Center, Coleman Pavilion #11105, 11175 Campus St, Loma Linda, CA 92354,
USA
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Article ID: 100109Z08AB2022
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Berry A, Salcedo A, Riba C. Atypical amniotic fluid embolism successfully treated with a novel protocol: A case report. J Case Rep Images Obstet Gynecol 2022;8:100109Z08AB2022.ABSTRACT
Introduction: Amniotic fluid embolism (AFE) is a rare complication of pregnancy with a high morbidity and mortality rate for the gravida. Due to a lack of consensus on diagnostic criteria and treatment, there is great need for further research.
Case Report: We present a 26-year-old female patient who experienced cardiorespiratory distress following labor and, through exclusion, was determined to have atypical AFE. She was successfully treated with both standard supportive care and a novel protocol of atropine, ondansetron, and ketorolac (A-OK) first suggested by Copper et al.
Conclusion: Not only does this case add to the variety of ways in which atypical AFE can present, but the patient’s full recovery gives support to the further study and utilization of the A-OK protocol as a treatment for AFE.
Keywords: A-OK protocol, Atypical amniotic fluid embolism, AFE
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Author Contributions
Abigail Berry - Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Andrea Salcedo - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Christopher Riba - Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Abigail Berry et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
