Cesarean Section in a Morbidly Obese Patient With Severe Preeclampsia and Pulmonary Edema: A Case Report

被引:0
作者
Ahammedunni, Abduljaleel Ethy [1 ]
Nour, Nadine B. [1 ]
Das, Kundan [1 ]
机构
[1] Dubai Hlth, Latifa Hosp, Dept Anaesthesia & Intens Care, Dubai, U Arab Emirates
关键词
spinal anesthesia; morbid obesity; pulmonary edema; preeclampsia; cesarean; SPINAL-ANESTHESIA; PATHOPHYSIOLOGY; MANAGEMENT;
D O I
10.7759/cureus.65877
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe preeclampsia and pulmonary edema pose significant challenges for an anesthesiologist. Pregnancy is associated with major physiologic changes to meet the increased demands of the mother and fetus. Preeclampsia complicates this balance by adding additional stress to the mother and baby. Pulmonary edema is a rare complication of preeclampsia, and it is a potentially life-threatening condition. Meticulous care is needed in the anesthetic management of this condition, especially when the patient is morbidly obese and presents for an emergency cesarean section.
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页数:5
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共 18 条
[1]   Obesity in anaesthesia and intensive care [J].
Adams, JP ;
Murphy, PG .
BRITISH JOURNAL OF ANAESTHESIA, 2000, 85 (01) :91-108
[2]   Maternal cardiovascular risk after hypertensive disorder of pregnancy [J].
Arnott, Clare ;
Nelson, Michael ;
Alfaro Ramirez, Maria ;
Hyett, Jon ;
Gale, Marianne ;
Henry, Amanda ;
Celermajer, David S. ;
Taylor, Lee ;
Woodward, Mark .
HEART, 2020, 106 (24) :1927-1933
[3]   Spinal anesthesia-induced hypotension: A risk comparison between patients with severe preeclampsia and healthy women undergoing preterm cesarean delivery [J].
Aya, AGM ;
Vialles, N ;
Tanoubi, I ;
Mangin, R ;
Ferrer, JM ;
Robert, C ;
Ripart, J ;
de La Coussaye, JE .
ANESTHESIA AND ANALGESIA, 2005, 101 (03) :869-875
[4]   Pre-eclampsia: pathophysiology and clinical implications [J].
Burton, Graham J. ;
Redman, Christopher W. ;
Roberts, James M. ;
Moffett, Ashley .
BMJ-BRITISH MEDICAL JOURNAL, 2019, 366
[5]   Acute pulmonary oedema in pregnant women [J].
Dennis, A. T. ;
Solnordal, C. B. .
ANAESTHESIA, 2012, 67 (06) :646-659
[6]   Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management [J].
Dominguez, Jennifer E. ;
Krystal, Andrew D. ;
Habib, Ashraf S. .
ANESTHESIA AND ANALGESIA, 2018, 127 (05) :1167-1177
[7]   Hemodynamic changes associated with spinal anesthesia for cesarean delivery in severe preeclampsia [J].
Dyer, Robert A. ;
Piercy, Jenna L. ;
Reed, Anthony P. ;
Lombard, Carl J. ;
Schoeman, Leann K. ;
James, Michael F. .
ANESTHESIOLOGY, 2008, 108 (05) :802-811
[8]   The Pulmonary Edema Preeclampsia Evaluation (PEPE) Study [J].
Gandhi, Shital ;
Sun, Dongmei ;
Park, Alison L. ;
Hladunewich, Michelle ;
Silversides, Candice K. ;
Ray, Joel G. .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA, 2014, 36 (12) :1065-1070
[9]   Pulmonary oedema in the course of severe maternal outcome in South Africa: A cohort study combined with clinical audit [J].
Heitkamp, Anke ;
Sandberg, Evelien ;
Moodley, Ashley ;
Burke, Jonathan ;
van Roosmalen, Jos ;
Gebhardt, Stefan ;
Vollmer, Linda ;
de Vries, Johanna I. ;
van den Akker, Thomas ;
Theron, Gerhard .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2023, 28 (08) :677-687
[10]   Spinal Anesthesia in Severe Preeclampsia [J].
Henke, Vanessa G. ;
Bateman, Brian T. ;
Leffert, Lisa R. .
ANESTHESIA AND ANALGESIA, 2013, 117 (03) :686-693