Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (4): 622-623    DOI: 10.12891/ceog3397.2017
Case Report Previous articles | Next articles
Combined spinal epidural anesthesia and non-invasive positive pressure ventilation for emergency cesarean section in a parturient with acute pulmonary edema due to pre-existing multivalvular cardiac disease
B. Tuncali1, *(), H.M. Ozsoy2
1 Department of Anesthesiology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
2 Department of Obstetrics and Gynecology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  Acute pulmonary edema in pregnant women with pre-existing cardiac disease is an uncommon problem, which may lead to significant maternal morbidity and mortality. It may occur due to superimposed characteristic features of the physiological changes related to pregnancy. The management is difficult, because there is no controlled trials or guidelines. The authors present their management of combined spinal epidural anesthesia with non-invasive ventilation in a parturient with acute pulmonary edema, due to pre-existing multivalvular heart disease and pulmonary hypertension, who underwent an emergency cesarean section because of preterm labour and fetal distress.
Key words:  Pulmonary edema      Pulmonary hypertension      Cesarean section      Multivalvular heart disease      Combined spinal epidural anesthesia      Non-invasive ventilation      Back-up position     
Published:  10 August 2017     
*Corresponding Author(s):  B. TUNCALI     E-mail:  tuncali.bahattin@gmail.com

Cite this article: 

B. Tuncali, H.M. Ozsoy. Combined spinal epidural anesthesia and non-invasive positive pressure ventilation for emergency cesarean section in a parturient with acute pulmonary edema due to pre-existing multivalvular cardiac disease. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 622-623.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3397.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I4/622

[1] H.M. Kim, Y.S. Choo, W.J. Seong. Serum NT-proBNP levels as a marker for cardiopulmonary function in preeclampsia[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 511-515.
[2] A.M. Sindiani, H.M. Rawashdeh, E.H. Alshdaifat, O.F. Altal, H. Yaseen, A.A. Alhowary. The association between repeated doses of vaginal PGE2 (Dinoprostone, Prostin®) and both maternal and neonatal outcomes among women in the north of Jordan[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 329-334.
[3] J. Huang, Z. Zhang. Spontaneous umbilical cord vascular rupture before labor for congenital defects with a live birth: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 142-143.
[4] K. Relakis, A. Pontikaki, I. Kosmas, S. Sifakis. Bilateral ascending uterine arteries ligation for conservative management of complete placenta previa: three case reports[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 144-146.
[5] H. Takahashi, Y. Baba, M. Ogoyama, H. Suzuki, A. Ohkuchi, R. Usui, S. Matsubara. Does previous cesarean section per se, especially its number, increase the risk of allogeneic blood transfusion at cesarean section for placenta previa?[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 41-46.
[6] H. Kiyak, L. S. Turkgeldi, C. Ozdemir, S. Gunkaya, K. Tolga, A. Gedikbası. Myomectomy during cesarean section: is it a redundant or a feasible procedure?[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 881-887.
[7] A. Basha, Z. Falayleh, R. Jabra, S. Attili, Y. Obeidat, L. El-Khatib, A. Ala’eddien Obeidat. Cesarean section: Where are we are now? A comparative study between 1997-1998 and 2015-2016 at a tertiary teaching hospital in a developing country[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 943-947.
[8] G. Virdis, F. Dessole, A. Andrisani, A. Vitagliano, R. Cappadona, G. Capobianco, E. Cosmi, G. Ambrosini, S. Dessole. Cesarean scar pregnancy: a report of three cases and a critical review on the management[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 982-985.
[9] M. Trisovic, O. Mladenovic, J. Bila, K. Lalić, D. Kisic Tepavcevic. The predictive value of metabolic syndrome in the evaluation of pregnancy course and outcome[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 776-778.
[10] E. Panagiotou, P. Tsikouras, A. Bothou, S. Fotopoulos, S. Zervoudis, D. Deuteraiou, A.B. Chalil, G. Trypsianis, G. Galazios. A comparative study of the contribution of antenatal corticosteroids administration on improving neonatal respiratory function after elective cesarean section[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 368-374.
[11] L. Wang, N. Zhao, J. Zhou, M. Xu. Factors for predicting cesarean section during epidural analgesia: a retrospective study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 443-446.
[12] N. Yachida, M. Itsukaichi, K. Haino, T. Usuda, J. Yoshimura, T. Enomoto, M. Yamaguchi, K. Takakuwa. Influence of route of delivery on perinatal outcomes in fetuses with myelomeningocele[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 277-279.
[13] F. Ercan, A. Pekin, M. Sarıkaya, F. Kılıç, O. Balcı, H. Görkemli, A. Acar. A safe procedure for myomectomy during cesarean section[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 72-75.
[14] X.W. Sun, X.M. Bai, Q. Chen, J.F. Shen, L. Yang, J.Y. Zhang, X.S. Gu, Q. Yuan, J. Jing, Y. Jin. Preset catheter sheaths for uterine arterial embolization in the cesarean section of pernicious preplacental placenta: its application[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 108-112.
[15] I. Rudic Biljic-Erski, M. Vasiljevic, S. Rakic, O. Dzatic-Smiljkovic, S. Mihajlovic, D. Jovanovic. Term pregnancy not requiring cerclage placement or tocolytic therapy in a patient with a unicornuate uterus and history of myomectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 151-153.
No Suggested Reading articles found!