Acute Pulmonary Edema in Pregnancy

Sciscione, Anthony; Ivester, Thomas; Largoza, Marissa; Manley, James S.; Shlossman, Philip; Colmorgen, Garrett H. C.

doi:10.1097/00006250-200303000-00016

Cited by 56 publications

(71 citation statements)

References 18 publications

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“…However, this delicate equilibrium can be altered by a series of factor and lead to lung edema. In fact, pulmonary edema during pregnancy is caused mainly by the use of tocolytic agents, underlying cardiac disease, fluid overload and preeclampsia [6] .…”

Section: Discussionmentioning

confidence: 99%

“…These complications may occur during the last period of pregnancy, labor and post-partum. Nevertheless, acute respiratory failure (ARF) in pregnancy can result not only from obstetric-related conditions (i.e., severe preeclampsia and amniotic fluid embolism) but also from conditions not directly correlated with pregnancy (i.e., such as pneumonia and asthma) [6][7][8][9][10] . Even if ARF occurs in less than 0.1% of pregnancies, it can be a life-threatening condition [11] and it is one of the most common indications for obstetric admissions into the intensive care unit [12] .…”

Section: Introductionmentioning

confidence: 99%

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Lung Ultrasound Pattern Is Normal during the Last Gestational Weeks: An Observational Pilot Study

Arbeid¹,

Demi²,

Brogi

et al. 2016

Gynecol Obstet Invest

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Background/Aims: The normal lung ultrasound (US) pattern during a regular pregnancy has not been evaluated extensively in the current literature. Pregnancy-related changes in the respiratory tract affect maternal predisposition to several respiratory complications; consequently, it is important to differentiate between a physiologic pattern during pregnancy and a pathologic lung pattern, due to respiratory failure. The goal of our study was to assess the normal US lung pattern in women without known comorbidities in the last weeks of pregnancy. Methods: We conducted a prospective cross-sectional observational pilot study. Chest wall was examined in 8 areas, 1 scan for each area with women in supine position. Results: One hundred fifty parturients were enrolled during the 36th-38th gestational weeks. None of the participants showed pleural effusion, pneumothorax or lung consolidation. None presented an interstitial syndrome US pattern. One hundred thirteen participants out of 150 (75%) showed A-lines in all the regions. The remaining 25% showed 1 or 2 B-lines in at least 3 regions. Only 2 participants showed 2 positive regions also. Conclusions: We found that, in the majority of the women examined, the lung US pattern matches the physiological pattern in non-pregnant patients. Lung US assessment is a feasible and a helpful diagnostic tool during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lung Ultrasound Pattern Is Normal during the Last Gestational Weeks: An Observational Pilot Study

Arbeid¹,

Demi²,

Brogi

et al. 2016

Gynecol Obstet Invest

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show abstract

“…Acute PE is produced by accumulation of the fluid in alveoli and pulmonary interstitial spaces, impairing in this way the diffusion of gases [3]. PE is one of the common causes of acute dyspnea.…”

Section: Introductionmentioning

confidence: 99%

Sensitivity and specificity of ultrasound for the diagnosis of acute pulmonary edema: a systematic review and meta-analysis

Wang

Shen

et al. 2018

Med Ultrason

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Aims: This study aimed to determine the sensitivity and specificity of ultrasound for the diagnosis of acute pulmonary edema by meta-analysis.Materials and methods: A systematic search was conducted through the following databases: Cochrane, PubMed, EMBASE and Ovid MEDLINE. Prospective cohort and prospective case-control studies that reported sensitivity and specificity of lung ultrasound in diagnosis of acute pulmonary edema were selected. An independent review of citations was carried out for inclusion and data extraction. Quality assessment was conducted using the QUADAS-2 tool. Sensitivity and specificity were taken from the studied articles and then calculated with the contingency tables. A total of 984 articles were identified but only eight studies (1301 patients) were included in this meta-analysis. One study was a case-control study and seven studies were prospective cohort study.Results: The overall sensitivity of ultrasound for the diagnosis of acute pulmonary edema is 97% (95% CI: 96%–98%) and the overall specificity was 98% (95% CI: 97%–99%).Conclusion: The diagnostic test accuracy suggests that lung ultrasound using B-lines is a useful and reliable diagnostic tool for critically illpatients with acute pulmonary edema.

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“…Considerando as dificuldades de diagnóstico e a presença de casos assintomáticos, a incidência verdadeira de TEP na gravidez é desconhecida. A maioria das TVP são ileofemorais (72%), mais propensas a embolizar para o pulmão 3 . A incidência de TEV é maior no terceiro trimestre e no puerpério, assim como no parto cesáreo (sobretudo se realizado de urgência), quando comparado ao parto vaginal 3,4 .…”

Section: -Introduçãounclassified

“…A maioria das TVP são ileofemorais (72%), mais propensas a embolizar para o pulmão 3 . A incidência de TEV é maior no terceiro trimestre e no puerpério, assim como no parto cesáreo (sobretudo se realizado de urgência), quando comparado ao parto vaginal 3,4 . O TEP é a primeira causa de morte materna direta em países desenvolvidos 5 .…”

Section: -Introduçãounclassified

14. Insuficiência cardíaca

2009

Arq. Bras. Cardiol.

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Acute Pulmonary Edema in Pregnancy

Cited by 56 publications

References 18 publications

Lung Ultrasound Pattern Is Normal during the Last Gestational Weeks: An Observational Pilot Study

Lung Ultrasound Pattern Is Normal during the Last Gestational Weeks: An Observational Pilot Study

Sensitivity and specificity of ultrasound for the diagnosis of acute pulmonary edema: a systematic review and meta-analysis

14. Insuficiência cardíaca

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