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Korean Journal of Anesthesiology 1979;12(2):179-182.
DOI: https://doi.org/10.4097/kjae.1979.12.2.179   
Anesthesia for a Toxemia Patient with Pulmonary Edema.
Ou Kyoung Kwon, Sung Nyeun Kim
Department of Anesthesiology, Catholic Medical College, Seoul, Korea.
Abstract
It is a highly risky procedure to perform general anesthesia on a patient with toxemia in whom the function of the vital organs is seriously impaired. The risk is much increased when pulmonary edema is also a complication. Recently, many physicians are increasingly interested in PEEP(positive end-expiratory pressure) as a valuable therapeutic approach for pulmonary edema. There are reports that the PEEP has contributed a great deal of the treatment of the pulmonary edema. This is a case report of a patient with toxemia and pulmonary edema who underwent cesarean section. She was treated with oxygen, diuretics, digitalis, steroids, bronchodilators and PEEP(pr.=10cm.H2O, Vt=700ml., assist mode), The therapeutic result was excellent.


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