New onset acute pulmonary edema after methylergonovine given during cesarean delivery of a patient with undiagnosed Raynaud's disease
| Autor: | I. Kim, C. Masear, K. Lindeman |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Pregnancy Complications Cardiovascular Pulmonary Edema Disease 030204 cardiovascular system & hematology Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Methylergonovine 030202 anesthesiology Pregnancy Oxytocics medicine Humans Myocardial infarction Methylergonovine Maleate business.industry Cesarean Section Obstetrics and Gynecology Raynaud Disease medicine.disease Pulmonary edema Uterine atony Anesthesiology and Pain Medicine Raynaud's disease Coronary vasospasm Anesthesia Acute Disease Female business |
| Zdroj: | International journal of obstetric anesthesia. 36 |
| ISSN: | 1532-3374 |
| Popis: | Raynaud's disease is a medical condition in which arterial spasm causes episodes of reduced blood flow, in the setting of certain triggers such as cold weather. Patients with this condition are at risk of adverse reactions if they receive medications with vasoactive properties. Methylergonovine maleate is one drug used during cesarean delivery to treat postpartum hemorrhage due to uterine atony. By acting directly on uterine and vascular smooth muscle, it produces cardiovascular responses such as coronary vasospasm, myocardial infarction, and even cardiac arrest. However, pulmonary events have rarely been reported. We report our anesthetic management of a 36-year-old patient, with undiagnosed Raynaud's disease and undergoing cesarean delivery, who experienced new onset acute pulmonary edema after methylergonovine administration to manage postpartum hemorrhage. |
| Databáze: | OpenAIRE |
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