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Re: After catastrophic event in labor and delivery. Advice needed. From: Bernard Cristalli (bcrist@club-internet.fr) Sun Mar 23 00:51:01 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: fundal pressure" Previous message: Roberta Speyer: "Re: Good Idea!" Maybe in reply to: Gary Kleinman: "After catastrophic event in labor and delivery. Advice needed." Gary Kleinman wrote: > > I sure could use some help. This is probably out of my (our) hands but any > advice would be most helpful. I can't stand to see a mother, wife, daughter > and friend of a lot of people remain in a neverending coma without hope of > recovery and with permanent brain damage. > > We still dont have an exact diagnosis but amniotic fluid embolus seems most > likely. Please! Could anyone help me with any suggestions to help improve > long term neurologic outcome? Any way to tell if patient is responding to > voice or other subtle stimuli? Maybe I just have to try harder to > communicate with her. > -- What about a cerebral ECT scan &/or MRI ? Amniotic fluid embolus is usually a pulmonary one. Lungs are the first screen. Your case looks like a crebral hypoxia eclampsia-like. Without anatomic damages recovery may be total but may be long to come. -- Bernard Cristalli MD CNGOF Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: fundal pressure" Previous message: Roberta Speyer: "Re: Good Idea!" Maybe in reply to: Gary Kleinman: "After catastrophic event in labor and delivery. Advice needed."

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