Management of Perioperative Pulmonary Edema with Non- Invasive Ventilation in Patient with Pre-eclampsia Undergoing Emergency C-Section
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Pulmonary edema rarely occurs in normal pregnancy but it is a significant cause of maternal and perinatal morbidity and mortality. Case report: We report a case of development of acute cardiogenic pulmonary oedema in pre-eclamptic patient, presented at 35 weeks gestation with fetal distress. During the emergency caesarean section, while under spinal anesthesia, after the delivery of baby, suddenly the patient developed cough, tachypnoea and tachycardia with clinical findings suggestive of acute pulmonary oedema. Patient was put on Non invasive ventilation (NIV) with a portable ventilator with CPAP 8cm H2O and RR of 15/min along with antihypertensives and diuretics. Over the course of 2 days, serial ABG showed improvement in the acid base status, vitals stabilized and patient was gradually weaned off the ventilator and discharged on 5th postoperative day. Conclusion: The use of CPAP by NIV in pulmonary edema significantly decreases the need for endotracheal intubation and improves survival.
Authors and Affiliations
Bordi Pancholi, Chandra Shekhar Chatterji, Rama Chatterji
Keywords
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