Key result
Titrated epidural anesthesia successfully manages urgent cesarean section in severe preeclampsia with acute pulmonary edema.
Why the study?
Acute pulmonary edema is the most common cause of death in pregnant women with severe hypertension, and the best anesthetic option for cesarean delivery in this setting remains controversial.
Case Report (n=1)
No
Epidural anesthesia with restrictive fluid therapy can be safely and effectively used for cesarean section in pregnant women with severe preeclampsia complicated by acute pulmonary edema.
May support epidural use in severe preeclampsia with edema; hypothesis-generating case report leaves open need for controlled trials.
Although rare, acute pulmonary edema is the most common cause of death in pregnant women with severe hypertension. The authors report a case involving a pregnant woman at 36 weeks of gestation with preeclampsia, who exhibited pulmonary edema and required immediate cesarean delivery. The patient had type 1 respiratory failure and needed supplemental oxygenation with a Venturi mask. The cesarean section was performed successfully under epidural anesthesia. Women with severe preeclampsia and acute pulmonary edema remain a challenge when presented for cesarean delivery, and the best anesthetic option remains controversial.
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Alves et al. (2023) conducted a case report in Severe preeclampsia with acute pulmonary edema (n=1). Epidural anesthesia was evaluated on Hemodynamic stability and successful cesarean delivery.
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