Case Series
Volume 6 Issue 6 - 2020
Intensive Care Management in Pregnant Women with Pulmonary Edema
Arzu Esen Tekeli1*, Sebat İldoğan2 and Zeynep Özdemir3
1Assistant Professor, Department of Anesthesiology and Reanimation, School of Medicine, Dr. Van Yuzuncu Yil University, Van, Turkey
2Department of Anesthesiology and Reanimation, School of Medicine, Dr. Van Yuzuncu Yil University, Van, Turkey
3Department of Anesthesiology and Reanimation, School of Medicine, Dr. Van Yuzuncu Yil University, Van, Turkey
*Corresponding Author: Arzu Esen Tekeli, Assistant Professor, Department of Anesthesiology and Reanimation, School of Medicine, Dr. Van Yuzuncu Yil University, Van, Turkey.
Received: March 15, 2020; Published: May 25, 2020




Abstract

Introduction: Pregnancy is a process in which the normal physiology of women changes completely. Difficult airway should not be ignored in these patients and anti-viral treatment should be start to prevent serious complications.

Aim of the Study: To share the airway management and pulmonary edema diagnosis and treatment process for pregnant patients.

Materials and Research Methods: Our study started after signing consent forms and approval of the ethics committee. Patient data were compiled from clinical records. Case 1: 40-year-old female patient with twin pregnancy with in vitro fertilization. She has cough, fever and general condition symptoms at the 32nd gestational week. Case 2: 22-week pregnant patient with dry cough, fever, high blood pressure, kidney failure and low platelet count. Case 3: 36-week pregnant patient with chronic immune thrombocytopenic purpura (ITP) was evaluated in the 2nd step intensive care unit with high fever and respiratory distress.

Conclusion: It should be remembered that serious complications such as pulmonary edema can be encountered and the mother and baby life will be saved with rapid diagnosis and correct treatment.

Keywords: Pregnant; Difficult Airway, Pulmonary Edema

References

  1. Cypher RL. “Pulmonary Edema in Obstetrics: Essential Facts for Critical Care Nurses”. AACN Advanced Critical Care 3 (2018): 327-335.
  2. Blackburn ST. “Respiratory system”. In: Blackburn ST. Maternal, Fetal and Neonatal Physiology: A Clinical Perspective. 5th St Louis, MO: Elsevier (2018): 297-350.
  3. Haddox AG., et al. “Changes in segmental mass and inertia during pregnancy: A musculoskeletal model of the pregnant woman”. Gait Posture 76 (2020): 389-395.
  4. Callaghan WM., et al. “Severe maternal morbidity among delivery and postpartum hospitalizations in the United States”. Obstetrics and Gynecology 5 (2012): 1029-1036.
  5. Leeper C and Lutzkanin A. “Infections During Pregnancy”. Primary Care 3 (2018): 567-586.
  6. Racicot K and Mor G. “Risks associated with viral infections during pregnancy”. Journal of Clinical Investigation 5 (2017): 1591-1599.
  7. Rothberg MB., et al. “Complications of viral influenza”. American Journal of Medicine 4 (2008): 258-264.
  8. Rac H., et al. “Common Bacterial and Viral Infections: Review of Management in the Pregnant Patient”. Annals of Pharmacotherapy 6 (2019): 639-651.
  9. Dennis AT and Solnordal CB. “Acute pulmonary oedema in pregnant women”. Anaesthesia6 (2012): 646-659.
  10. Handagala R., et al. “Unilateral pulmonary edema: a case report and review of the literature”. Journal of Medical Case Reports 1 (2018): 219.
  11. American College of Radiology, Society for Pediatric Radiology. ACR-SPR practice guideline for imaging pregnant or potentially pregnant adolescents and women with ionizing radiation (2018).
Citation: Arzu Esen Tekeli., et al. “Intensive Care Management in Pregnant Women with Pulmonary Edema”. EC Anaesthesia 6.6 (2020): 10-15.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


January Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the January issue of respective journals and can be viewed in the current issue pages.

Submission Deadline for January Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the January issue of respective journals. Submissions are accepted on/before January 26, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk