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Poster Angga Perdici Fix
Poster Angga Perdici Fix
Introduction
Case Report
A 35-year-old woman with preeclampsia 2 days after a C-section was consulted from the
room accompanied by hypertension, cough, tachypnea, and tachycardia with clinical
findings showing acute pulmonary edema. The patient is then applied non-invasive
ventilation with 8 cm H2O CPAP together with anti-hypertension and diuretic
administration. Within the next 2 days, serial blood gas analysis showed improvement in
Pa02, hemodynamically stable, and the patient was gradually weaned from the ventilator
and discarded on the 3rd day after being treated in the intensive care unit.
Discussion
The use of NIV in acute pulmonary edema can be an option. It significantly decreases the
need of endotracheal intubation, thus improving the survival rate of patient.
References
1. Sibai BM, Mabie BC, Harvey CJ, et al. Pulmonary edema in severe preeclampsia-
eclampsia: analysis of thirty-seven consecutive cases. Am J
ObstetGynecol1987;156:1174-9.
2. Dunne C, Meriano A (2009) Acute Postpartum Pulmonary Lung Edema in a 23 year
old woman 5 days after caesarean delivery. CJEM 11 : 178-171
3. Anthony C, Scisione K, Thomas I, Marissa L (2003) Acute pulmonary edema in
pregnancy. ObstetGynecol 101: 511-515
4. Agarwal R, Aggarwal AN, Gupta D, Jindal SK (2005) Noninasive ventilation in acute
cardiogenic pulmonary edema. Postgrade Med J 81: 637-643