| Acute Pulmonary Edema During a Cesarean Section in a Patient with Ritodrine Treatment. |
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Choon Kun chung |
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Department of Anesthesiology, Inha Hospital, Kyonggi Do, Korea. |
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| Abstract |
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Two selective beta 2-sympathonimetic drugs are presently used to arrest preterm labor ritodrine (Yutopar) and terbutaline. As the use of rltodrine becomes more widespread an increasing number of cases of pulmonary edema is 7eing observed Besides pulmonary edema many other complications such as myocardial ischemia, cardiac arrhyth-mias, hypotension, hypertension, cerebral vasospaun, hyperglycemia and miscellaneous metabolic alterations have been recongnized. We recently experienced a previously healthy parturient who suddenly develeped severe pulmonary edema during a cesarian section under epidural anesthesia. She had been treated wish ritodrine for 4 days in an attempt to arrest preterm labor which ultimately failed. Close, aggresaive patient care, mechanical ventilatory support with PEEP and diuretics could dramatically relieve poteotiatty fatal pulmonary edema within 24 hours. The anesthetist should be aware of the potential, life-threatening complications. It is necessry for the aneathetist to kncw how to screen, monitor and treat a patient with compllcatitans associated with tocolytic agents. |
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