Postpartum Pulmonary Edema: Things Can Change In A Flash
A 31 y.o. G4P2 female underwent unscheduled Cesarean delivery secondary to preeclampsia. On POD #3 she became acutely dyspneic with increasing oxygen requirements. Initial CXR was negative. The obstetric team believed this was due to bleeding and wound dehiscence, and plan was to re-explore operatively. Upon notifying anesthesia of the patient, she further decompensated and was sent for emergent CT PE. The patient was intubated prior to the CT. Immediately after intubation, there was return of several hundred milliliters of pulmonary edema. This case examines pathophysiology of pulmonary edema in the parturient, and proposes an algorithm for identification and management.
Kraemer J, Tobes D, Kado J, Forrest M, Asbahi M, Vahabzadeh C. Postpartum pulmonary edema: Things can change in a flash. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.