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Noninvasive positive-pressure ventilation in pregnancy to treat acute pulmonary edema induced by tocolytic agents: a case report

Authors :
Kotaro Takahashi
Koji Nishijima
Masayuki Yamaguchi
Kensuke Matsumoto
Shunya Sugai
Takayuki Enomoto
Source :
Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-4 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background We report a case of pulmonary edema induced by tocolytic agents that was successfully managed with noninvasive positive-pressure ventilation (NPPV) and resulted in extended gestation. Case presentation A 36-year-old Japanese pregnant woman received tocolytic therapy with ritodrine hydrochloride, magnesium sulfate, nifedipine, and betamethasone from 28 weeks of gestation. She developed respiratory failure. and her chest X-ray showed enlarged pulmonary vascular shadows. At 29 weeks and 1 day of gestation, she was diagnosed with pulmonary edema induced by tocolytic agents. Because respiratory failure worsened 2 days after ritodrine hydrochloride and magnesium sulfate were stopped, NPPV was initiated. Her respiratory status improved and she was weaned off of NPPV after 3 days. She underwent cesarean section because of breech presentation at 30 weeks and 0 days of gestation due to initiation of labor pains. Conclusions NPPV can be safely administered in cases of tocolytic agent-induced pulmonary edema during pregnancy.

Details

Language :
English
ISSN :
17521947
Volume :
15
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Medical Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.70fad7be55d4995b81c788f3af6fdda
Document Type :
article
Full Text :
https://doi.org/10.1186/s13256-021-02704-w