Noninvasive positive-pressure ventilation in pregnancy to treat acute pulmonary edema induced by tocolytic agents: a case report

Journal of Medical Case Reports

Kotaro Takahashi¹  Koji Nishijima¹  Shunya Sugai¹  Takayuki Enomoto¹  Masayuki Yamaguchi¹  Kensuke Matsumoto¹ 

[1] Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, 1-757 Asahimachi-dori, Chuo-ku, 951-8510, Niigata, Japan;

关键词: Noninvasive ventilation;    Pulmonary edema;    Tocolytic agents;    Preterm labor;    Pregnancy;   

DOI  :  10.1186/s13256-021-02704-w

来源: Springer

【 摘 要 】

BackgroundWe report a case of pulmonary edema induced by tocolytic agents that was successfully managed with noninvasive positive-pressure ventilation (NPPV) and resulted in extended gestation.Case presentationA 36-year-old Japanese pregnant woman received tocolytic therapy with ritodrine hydrochloride, magnesium sulfate, nifedipine, and betamethasone from 28 weeks of gestation. She developed respiratory failure. and her chest X-ray showed enlarged pulmonary vascular shadows. At 29 weeks and 1 day of gestation, she was diagnosed with pulmonary edema induced by tocolytic agents. Because respiratory failure worsened 2 days after ritodrine hydrochloride and magnesium sulfate were stopped, NPPV was initiated. Her respiratory status improved and she was weaned off ofNPPV after 3 days. She underwent cesarean section because of breech presentation at 30 weeks and 0 days of gestation due to initiation of labor pains.ConclusionsNPPV can be safely administered in cases of tocolytic agent-induced pulmonary edema during pregnancy.

【 授权许可】

CC BY