{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:18:45Z","timestamp":1774621125349,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2022,5,18]]},"abstract":"<jats:p>Amniotic fluid embolism (AFE) is a rare and often fatal complication of pregnancy that occurs during the puerperium. The low incidence of AFE has resulted in few large studies, which makes evidence-based management of AFE challenging. The use of extracorporeal membrane oxygenation (ECMO) has been reported but is limited by availability and challenges managing anticoagulation. In this report, we detail the case of a 29-year-old female who suffered from an AFE leading to cardiac arrest and disseminated intravascular coagulopathy. She was treated with protocolized A-OK (adenosine, ondansetron, and ketorolac), emergency c-section, cardiopulmonary resuscitation, massive blood transfusion, and rotational thromboelastometry-guided ECMO, allowing her to forgo initial anticoagulation. After a prolonged rehabilitation with initial poor neurological status, she made a complete recovery. In this report, we describe the protocols that contributed to her recovery and detail management of complicated AFE for other clinicians.<\/jats:p>","DOI":"10.1155\/2022\/9658708","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:05:10Z","timestamp":1652918710000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["Rotational Thromboelastometry-Guided Venoarterial Extracorporeal Membrane Oxygenation in the Treatment of Amniotic Fluid Embolism"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2730-7638","authenticated-orcid":true,"given":"Jillian K.","family":"Wothe","sequence":"first","affiliation":[{"name":"University of Minnesota, Medical School, 420 Delaware St SE Minneapolis, MN, 55455, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Elfstrand","sequence":"additional","affiliation":[{"name":"Abbott Northwestern, Department of Obstetrics and Gynecology, 800 E 28th St Minneapolis, MN 55407, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Mooney","sequence":"additional","affiliation":[{"name":"Abbott Northwestern Department of Cardiology, 800 E 28th St Minneapolis, MN 55407, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald D.","family":"Wothe","sequence":"additional","affiliation":[{"name":"Abbott Northwestern, Department of Obstetrics and Gynecology, 800 E 28th St Minneapolis, MN 55407, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000107"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.06.037"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.58537"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012964"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8458375"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003513"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520903640"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/cce.0000000000000162"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.01.001"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2009.00791.x"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31824d68e3"}],"updated-by":[{"DOI":"10.1155\/crog\/9767489","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000}}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2022\/9658708.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2022\/9658708.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2022\/9658708.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:05:13Z","timestamp":1652918713000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2022\/9658708\/"}},"subtitle":[],"editor":[{"given":"Seung-Yup","family":"Ku","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,5,18]]},"references-count":11,"alternative-id":["9658708","9658708"],"URL":"https:\/\/doi.org\/10.1155\/2022\/9658708","relation":{},"ISSN":["2090-6692","2090-6684"],"issn-type":[{"value":"2090-6692","type":"electronic"},{"value":"2090-6684","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5,18]]}}}