IMR Press / CEOG / Volume 44 / Issue 4 / DOI: 10.12891/ceog3397.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Combined spinal epidural anesthesia and non-invasive positive pressure ventilation for emergency cesarean section in a parturient with acute pulmonary edema due to pre-existing multivalvular cardiac disease
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1 Department of Anesthesiology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
2 Department of Obstetrics and Gynecology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(4), 622–623; https://doi.org/10.12891/ceog3397.2017
Published: 10 August 2017
Abstract
Acute pulmonary edema in pregnant women with pre-existing cardiac disease is an uncommon problem, which may lead to significant maternal morbidity and mortality. It may occur due to superimposed characteristic features of the physiological changes related to pregnancy. The management is difficult, because there is no controlled trials or guidelines. The authors present their management of combined spinal epidural anesthesia with non-invasive ventilation in a parturient with acute pulmonary edema, due to pre-existing multivalvular heart disease and pulmonary hypertension, who underwent an emergency cesarean section because of preterm labour and fetal distress.
Keywords
Pulmonary edema
Pulmonary hypertension
Cesarean section
Multivalvular heart disease
Combined spinal epidural anesthesia
Non-invasive ventilation
Back-up position
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