Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair.


Journal

Case reports in anesthesiology
ISSN: 2090-6382
Titre abrégé: Case Rep Anesthesiol
Pays: United States
ID NLM: 101581025

Informations de publication

Date de publication:
2021
Historique:
received: 06 11 2020
accepted: 24 02 2021
entrez: 22 3 2021
pubmed: 23 3 2021
medline: 23 3 2021
Statut: epublish

Résumé

Effective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nifedipine, indomethacin, terbutaline, and atosiban (outside the US) have also been used to combat uterine contractility. The ideal tocolytic regimen which balances the risks and benefits of in-utero surgery has yet to be determined. In this case report, we describe a unique case of fetal myelomeningocele repair complicated by maternal pulmonary edema and increased uterine activity resistant to magnesium sulfate therapy.

Identifiants

pubmed: 33747571
doi: 10.1155/2021/6679845
pmc: PMC7954628
doi:

Types de publication

Case Reports

Langues

eng

Pagination

6679845

Informations de copyright

Copyright © 2021 Denis Snegovskikh et al.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest regarding the publication of this article.

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Auteurs

Denis Snegovskikh (D)

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Konstantina Svokos (K)

Department of Neurosurgery, Rhode Island Hospital, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Dmitri Souza (D)

Department of Anesthesiology, Ohio University, Heritage College of Osteopathic Medicine, Athens, OH 45701, USA.

Elizabeth Renaud (E)

Department of Pediatric Surgery, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Stephen R Carr (SR)

Division of Maternal-Fetal Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Mark C Kendall (MC)

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Francois I Luks (FI)

Division of Pediatric Surgery, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Classifications MeSH