[Maternal pulmonary edema as an anesthesia complication after intravenous tocolysis and stimulating of lung maturation].
Maternal lung edema due to the use of beta-mimetic tocolytic agents is a well-documented complication. The risk increases if several other factors are present: infectious diseases, the use of inhaled anesthetics, EPH gestosis, hydramnios, twin gestation and preexisting cardiovascular disease. The complications induced by beta-mimetic tocolytic agents can be reduced by remembering their side effects and contraindications and restricting fluid intake. During obstetric general anesthesia in patients undergoing tocolysis, the infusion of large amounts of saline, as is widely practised today, is strictly contraindicated.
Frauenklinik, Kantonsspital, Aarau, Schweiz.
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D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects*; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage / Q000009:adverse effects*; D000768:Anesthesia, General; D002585:Cesarean Section; D005260:Female; D005325:Fetal Organ Maturity / Q000187:drug effects*; D005440:Fluid Therapy / Q000009:adverse effects; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000196:embryology; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011183:Postoperative Complications / Q000139:chemically induced*; D011247:Pregnancy; D011654:Pulmonary Edema / Q000139:chemically induced*; D012307:Risk Factors
D000305:Adrenal Cortex Hormones; D000318:Adrenergic beta-Agonists
Mütterliches Lungenödem als Narkosekomplikation bei Status nach intravenöser Tokolyse und Lungenreifungsstimulation.