Pulmonary edema induced by betamimetic drugs.
We present six cases of pulmonary edema related to betamimetic (beta sympathomimetic amine) agents (three to ritodrine and three to terbutaline). The hemodynamic data from three patients suggest that this may be a form of noncardiogenic pulmonary edema. A seventh case, resulting in a maternal death, is included because of the association with ritodrine therapy and the instructive complications of invasive monitoring. We also propose an outline for the management of betamimetic-drug-induced pulmonary edema.
D000328:Adult; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D007752:Obstetric Labor, Premature / Q000188:drug therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced*; D011412:Propanolamines / Q000009:adverse effects*; D011644:Puerperal Disorders / Q000139:chemically induced*; D011654:Pulmonary Edema / Q000139:chemically induced*; D011669:Pulmonary Wedge Pressure; D012189:Retrospective Studies; D012312:Ritodrine / Q000009:adverse effects*; D013726:Terbutaline / Q000009:adverse effects*; D013997:Time Factors
D011412:Propanolamines; D012312:Ritodrine; D013726:Terbutaline