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NONCARDIOGENIC PULMONARY EDEMA AFTER CESAREAN SECTION

VESNA VUCELIĆ ; Sestre milosrdnice University Hospital Centre, University of Zagreb School of Medicine, University Department of Medicine, Department of Intensive Care Medicine, Zagreb, Croatia
ŽELJKO VUČIČEVIĆ ; Sestre milosrdnice University Hospital Centre, University of Zagreb School of Medicine, University Department of Medicine, Department of Intensive Care Medicine, Zagreb, Croatia

Abstract

Acute dyspnea during and after pregnancy should bring a number of important conditions to the mind of a physician. Pulmonary embolism, amniotic fl uid embolism, pneumonia, aspiration and pulmonary edema must be considered. Although pulmonary edema is a very rare condition, the most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. We report on a case of noncardiogenic
pulmonary edema in a 36-year-old woman a few hours after cesarean section. The acute event was probably due to iatrogenic fl uid overload combined with hemodynamic effects of oxytocin in interaction with hemodynamic changes at the end of pregnancy. The patient was successfully treated with diuretics and oxygen therapy, and after a few hours her chest radiograph and respiratory status were normal.

Keywords

noncardiogenic pulmonary edema; cesarean section; iatrogenic fluid overload

Hrčak ID:

193717

URI

https://hrcak.srce.hr/193717

Publication date:

15.2.2018.

Article data in other languages: croatian

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