[Intravenous beta-2-adrenergic agonists for tocolytic therapy in pre-eclampsia: two cases of acute pulmonary edema].
Two cases of pulmonary oedema during beta 2-adrenergic agonist therapy in pre-eclampsia pregnant patients are reported. In our first case, the pulmonary oedema was exceptionally severe, because the patient (twins at 26 SA) had to be intubated and ventilated, but the caesarean section was performed only 6 weeks later. These two clinical observations underline the fact that B2 adrenergic agonist are not indicated for the treatment of preeclampsy. Furthermore they suggest that such patients should be rapidly admitted to intensive care units.
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Fédération d'anesthésie-réanimation chirurgicale, centre hospitalier universitaire de Rennes, rue Henri-Le-Guillou, 35033 Rennes, France. familiat@libertysurf.fr
Lassel
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Guillou
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YM
Le Bouar
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D058666:Adrenergic beta-2 Receptor Agonists; D000318:Adrenergic beta-Agonists / Q000627:therapeutic use*; D000328:Adult; D001794:Blood Pressure / Q000187:drug effects; D002585:Cesarean Section; D003422:Critical Care; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000188:drug therapy*; D011247:Pregnancy; D011654:Pulmonary Edema / Q000188:drug therapy*; D012121:Respiration, Artificial; D015149:Tocolytic Agents / Q000627:therapeutic use*; D014427:Twins
D058666:Adrenergic beta-2 Receptor Agonists; D000318:Adrenergic beta-Agonists; D015149:Tocolytic Agents