Anesthesia for cesarean section in a parturient with acute pulmonary edema--a case report.
Pulmonary edema is a rare complication in preeclampsia patients without pre-existing cardiac disease, tocolytic therapy, infection, or multiple gestations. We present a preeclamptic patient complicated by overwhelming pulmonary edema just prior to cesarean section and the massive edematous fluid production made it an exceptional challenge to the anesthesiologist on airway management. Emergent classic laryngeal mask airway (cLMA) placement was an effective alternative means for ventilation to provide temperate oxygenation in this case.
Lan
Jheng-Yan
JY
Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Yen
Ting-Shan
TS
Chao
I-Fang
IF
Chang
Chia-Ying
CY
Cheng
Ya-Jung
YJ
D000208:Acute Disease; D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D011225:Pre-Eclampsia / Q000503:physiopathology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D011654:Pulmonary Edema / Q000209:etiology*