[Acute pulmonary edema caused by tocolytic therapy with salbutamol]. / Oedème pulmonaire aigu induit par le salbutamol à visée tocolytique.
Presse Med
; 30(3): 112-4, 2001 Jan 27.
Article
em Fr
| MEDLINE
| ID: mdl-11225479
BACKGROUND: Acute pulmonary edema may be induced by beta 2-mimetics used for tocolysis. CASE REPORT: A 41-year-old patient, admitted for preterm labor, presented acute pulmonary edema after parenteral tocolysis using salbutamol in combination with corticosteroid therapy to improve fetal pulmonary maturation. DISCUSSION: The pathogenic mechanism is essentially non-cardiologic. Fluid retention is probably the main cause, potentially worsened by corticosteroid administration. If detected early, pulmonary edema is usually and adequately treated by cessation of beta 2-sympathomimetic therapy, oxygen administration and diuretics. Mechanical ventilation can be required. Cardiac function must be assessed after this complication. In preterm labor, the duration of tocolysis with beta 2-sympatomimetics should be reduced.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Edema Pulmonar
/
Tocolíticos
/
Albuterol
Limite:
Adult
/
Female
/
Humans
Idioma:
Fr
Revista:
Presse Med
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Martinica
País de publicação:
França