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New onset acute pulmonary edema after methylergonovine given during cesarean delivery of a patient with undiagnosed Raynaud's disease
- Source :
- International journal of obstetric anesthesia. 36
- Publication Year :
- 2018
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 15323374
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- International journal of obstetric anesthesia
- Accession number :
- edsair.doi.dedup.....afc32ae9a836980fb1b395bbd2c81655