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Tromboelastografivejledt transfusion til en patient med amnionvæskeemboli og massiv koagulopatisk blødning

Renee Anita Bøgeskov1, Lone Fuhrmann1 & Niels Klarskov2 1) Anæstesiologisk Afdeling, Herlev Hospital 2) Gynækologisk Obstetrisk Afdeling, Herlev Hospital Ugeskr Læger 2015;177:V05150453
Ugeskr Læger 2015;177:V05150453
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Thromboelastography-guided transfusion in a patient with amniotic fluid embolism and massive coagulopathic bleeding
Amniotic fluid embolism is a serious and devastating complication in obstetrics. Despite a low incidence of 1-6:100.000, it remains one of the leading causes of maternal death in developed countries. Several risk factors have been proposed, but studies are conflicting, and to date there are no ways to predict or prevent this condition. Despite early and aggressive treatment, mortality and risk of neurological impairment remain high. We present a classic case of amniotic fluid embolism during labour and briefly discuss the current recommendations for treatment.
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