Evidence map›Paper›PMID 29430313›Full record

ArticleCase reports in obstetrics and gynecology2017

Atypical Amniotic Fluid Embolism Managed with a Novel Therapeutic Regimen.

Shadi Rezai, Alexander C Hughes, Tracy B Larsen, Paul N Fuller, Cassandra E Henderson

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Shadi RezaiDepartment of Obstetrics and Gynecology, Kaiser Permanente Southern California, 1200 Discovery Drive, Bakersfield, Kern County, CA 93309, USA.ORCID 0000-0001-8498-565X
Alexander C HughesSchool of Medicine, St. George's University, St. George's, Grenada.
Tracy B LarsenDepartment of Anesthesiology, Adventist Health Bakersfield, 2615 Chester Avenue, Bakersfield, CA 93301, USA.
Paul N FullerDepartment of Obstetrics and Gynecology, Kaiser Permanente Southern California, 1200 Discovery Drive, Bakersfield, Kern County, CA 93309, USA.
Cassandra E HendersonDepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.ORCID 0000-0002-6849-6677
Kaiser Permanente · USAdventist Health Bakersfield · USLincoln Medical Center · USSt. George's University · GD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amniotic fluid embolism (AFE) is the second leading cause of maternal mortality in the USA with an incidence of 1 : 15,200 births. The case fatality rate and perinatal mortality associated with AFE are 13-30% and 9-44%, respectively. This rare but devastating complication can be difficult to diagnose as many of the early signs and symptoms are nonspecific. Compounding this diagnostic challenge is a lack of effective treatment regimens which to date are mostly supportive. We present the case of a 26-year-old woman who suffered from suspected AFE and was successfully treated with the novel regimen of Atropine, Ondansetron, and Ketorolac (A-OK). The authors acknowledge that this case does not meet the new criteria proposed, by Clark in 2016, but feel that it is important to share this case report, due to dramatic patient response to the provided supportive therapy presented in this case report. We hope this case report will prompt further research into this novel approach to treating AFE with Atropine, Ondansetron, and Ketorolac.

Identifiers

PMID29430313
PMCPMC5753013
OpenAlexW2780631754

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.