Key result
Treatment with mechanical ventilation, nitroglycerine, frusemide, and an ACE inhibitor led to hemodynamic stability and resolution of dyspnea in a woman with postpartum pulmonary edema.
Why the study?
Acute dyspnea after pregnancy is rare and can be caused by several conditions including pulmonary edema, which complicates 0.08% of pregnancies and has multiple contributing factors.
Case Report (n=1)
Acute postpartum pulmonary edema can be successfully managed with mechanical ventilation, diuretics, vasodilators, and ACE inhibitors.
Postpartum pulmonary edema remains rare at 0.08%; leaves open optimal prevention strategies in high-risk cases.
Acute dyspnea after pregnancy is a rare presentation, and a number of important conditions may accompany it. Pulmonary embolism, amniotic fluid embolism, pneumonia, aspiration and pulmonary edema are some of the potential causes that must be considered. The percentage of pregnancies that are complicated by acute pulmonary edema has been estimated 0.08%. The most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. Here we report a case of 32- year-old woman of 5th postpartum day following lower uterine cesarean section with acute dyspnea from her first pregnancy who was admitted in coronary care unit with history of one episode of raised blood pressure 160/90 mm Hg and cough on 1st postoperative day. Clinical examination and relevant investigations explored that it was a case of bilateral pulmonary edema. Patient was kept in ventilator and was treated with nitroglycerine (GTN), frusemide and ACE inhibitor. After diuresis, considerable improvement was observed in her respiratory status. From the 4th day, the patient became hemodynamically stable and was weaned off the ventilator. After five days, all the biochemical parameters became normal and she had no dyspnea. Journal of Enam Medical College; Vol 3 No 2 July 2013; Page 113-116 DOI: http://dx.doi.org/10.3329/jemc.v3i2.16135
No takes yet. Share an insight, caveat, or question.
Khan et al. (2013) conducted a case report in Acute postpartum pulmonary edema (n=1). Mechanical ventilation, nitroglycerine, frusemide, and ACE inhibitor was evaluated on Clinical recovery and hemodynamic stability. Treatment with mechanical ventilation, nitroglycerine, frusemide, and an ACE inhibitor led to hemodynamic stability and resolution of dyspnea in a woman with postpartum pulmonary edema.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: