1. [Non-invasive ventilation for pulmonary edema associated with tocolytic agents during labour for a twin pregnancy]
- Author
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Sébastien, Perbet, Jean-Michel, Constantin, Franck, Bolandard, Marie, Vignaud, Denis, Gallot, Sylvain, Chanséaume, Marie, Zénut, and Jean-Etienne, Bazin
- Subjects
Adult ,Nifedipine ,Infant, Newborn ,Twins ,Pulmonary Edema ,Delivery, Obstetric ,Respiration, Artificial ,Pleural Effusion ,Nicardipine ,Tocolytic Agents ,Vasotocin ,Pregnancy ,Apgar Score ,Humans ,Female ,Tomography, X-Ray Computed - Abstract
To describe the efficacy and patient acceptance of non-invasive ventilation for pulmonary edema associated with administration of tocolytic drugs during labour of a twin pregnancy.We report the case of a 31-yr-old parturient at 34 weeks gestation of a twin pregnancy, who experienced acute pulmonary edema after tocolytic treatment with nifedipine, nicardipine and atosiban of48 hr in duration. This patient presented with hypoxia during labour and non-invasive ventilation was successfully used allowing delivery by vaginal approach, with patient-controlled epidural analgesia, of two twins with a five minute Apgar score of 8. Investigations showed acute pulmonary edema and important transudate pleural effusions with left ventricular systolic dysfunction induced by calcium-antagonist, with favourable outcome after symptomatic treatment.When pulmonary edema occurs during pregnancy, non-invasive ventilation could be an efficacious treatment, this avoiding tracheal intubation and its complications.
- Published
- 2009