Key result
Drug therapy and noninvasive ventilation successfully manage post-caesarean acute pulmonary edema, with echocardiography aiding diagnosis.
Case Report (n=1)
Echocardiography is a valuable diagnostic tool for identifying the underlying cause of acute pulmonary edema in the immediate postpartum period.
Hypothesis-generating for echocardiography in postpartum pulmonary edema; prospective studies needed before clinical adoption.
The presentation of acute dyspnoea during pregnancy and immediate postpartum period is less common, but should bring a number of important conditions to the mind of the attending physician. Pulmonary embolism, amniotic fluid embolism, pulmonary aspiration, undiagnosed cardiac disease and peripartum cardiomyopathy are some of the potentially devastating causes that must be considered in differential diagnosis. Women of child bearing age may have asymptomatic mitral valve disease which becomes unmasked during the hemodynamic stress of pregnancy particularly in third trimester and labour. Irrespective of cause, initiation of appropriate resuscitation is the priority. After resuscitation physician should focus on diagnosis and specific treatment of clinical condition. Here we present a diagnostic dilemma in acute pulmonary edema following caesarean delivery managed successfully with drug therapy and noninvasive ventilation. Echocardiography proved to be of great value as diagnostic tool.
No takes yet. Share an insight, caveat, or question.
Sushama Raghunath Tandale (2015) conducted a case report in Acute pulmonary edema following caesarean delivery (n=1). Drug therapy and noninvasive ventilation was evaluated on Successful management of acute pulmonary edema. Acute pulmonary edema following caesarean delivery was successfully managed with drug therapy and noninvasive ventilation, with echocardiography proving valuable for diagnosis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: