title: Flash pulmonary edema during cesarean section in a woman with preeclampsia.
abstract: BACKGROUND
  Pulmonary edema may complicate preeclampsia. We report intraoperative flash pulmonary edema in a preeclamptic woman with Rendu-Osler-Weber syndrome.
  
  
  METHODS
  The patient was admitted at 33(+6) weeks gestation with preeclampsia. After rapid sequence induction and endotracheal intubation for cesarean section, flash pulmonary edema developed without evidence of cardiac dysfunction. She was mechanically ventilated and treated with furosemide. Following brisk diuresis she was extubated the next day and discharged on postoperative day 9 in good clinical condition.
  
  
  CONCLUSIONS
  Endotracheal intubation for general anesthesia can cause acutely increased blood pressure, which, with concomitant low oncotic pressure, we believe contributed to intraoperative flash pulmonary edema. We present this case to raise awareness of this complication when general anesthesia is used for cesarean section in preeclampsia.
authors.affiliation: University Medical Center Groningen, Department of Obstetrics and Gynecology, Hanzeplein 1, 9700 RB Groningen, The Netherlands. Electronic address: euser003@umn.edu.
authors.forename: Anna G
authors.initials: AG
authors.lastname: Euser
authors.affiliation: University Medical Center Groningen, Department of Obstetrics and Gynecology, Hanzeplein 1, 9700 RB Groningen, The Netherlands. Electronic address: mj.wiegman@umcg.nl.
authors.forename: Marjon J
authors.initials: MJ
authors.lastname: Wiegman
authors.affiliation: University Medical Center Groningen, Department of Obstetrics and Gynecology, Hanzeplein 1, 9700 RB Groningen, The Netherlands. Electronic address: aepcantineau@gmail.com.
authors.forename: Astrid E P
authors.initials: AE
authors.lastname: Cantineau
authors.affiliation: University Medical Center Groningen, Department of Obstetrics and Gynecology, Hanzeplein 1, 9700 RB Groningen, The Netherlands; Erasmus Medical Center Rotterdam, Department of Obstetrics and Gynecology, Postbus 2040, 3000 CA Rotterdam, The Netherlands. Electronic address: g.g.zeeman@umcg.nl.
authors.forename: Gerda G
authors.initials: GG
authors.lastname: Zeeman
keywords: Cesarean section; Intubation; Preeclampsia; Pressor response; Pulmonary edema