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[Acute pulmonary edema caused by tocolytic therapy with salbutamol]. / Oedème pulmonaire aigu induit par le salbutamol à visée tocolytique.
Drault, J N; Kaidomar, S; Schaub, B; Mehdaoui, H; Herbland, A; Cidolit, E.
Afiliação
  • Drault JN; Service de Réanimation polyvalente, Centre Hospitalier Universitaire, F 97261 Fort-de-France, Martinique. jndrault@sasi.fr
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.
Assuntos
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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
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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