Document Detail

Lung ultrasound-guided management of acute breathlessness during pregnancy.
MedLine Citation:
PMID:  23088788     Owner:  NLM     Status:  MEDLINE    
Lung ultrasonography is a standard tool in the intensive care unit and in emergency medicine, but has not been described in the particular setting of the labour ward. During pregnancy, acute respiratory failure and pulmonary oedema are not uncommon life-threatening events. We present two case reports outlining the potential of lung ultrasonography in parturients. In case 1, lung ultrasonography allowed early diagnosis and treatment of acute dyspnoea in a parturient admitted for suspected asthma exacerbation. Lung ultrasonography revealed a 'B-pattern' of vertical lines radiating into the lung tissue, indicating severe pulmonary oedema complicating previously undiagnosed pre-eclampsia. In case 2, a pre-eclamptic patient was managed with combined transthoracic echocardiography and lung ultrasonography. The accuracy of lung ultrasonography in detecting interstitial oedema at a pre-clinical stage allowed adequate fluid resuscitation in this patient who had a high risk of alveolar pulmonary oedema. We believe that these cases strongly support the prospective validation of lung ultrasound for management of lung disorders in pregnant women.
L Zieleskiewicz; D Lagier; C Contargyris; A Bourgoin; L Gavage; C Martin; M Leone
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-10-22
Journal Detail:
Title:  Anaesthesia     Volume:  68     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-12     Completed Date:  2013-02-05     Revised Date:  2014-06-13    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-101     Citation Subset:  AIM; IM    
Copyright Information:
Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.
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MeSH Terms
Acute Disease
Airway Management / methods*
Anesthesia, General
Anesthesia, Obstetrical
Cesarean Section
Diuretics / therapeutic use
Fetal Growth Retardation / ultrasonography
Furosemide / therapeutic use
Lung / ultrasonography*
Oxygen Inhalation Therapy
Pre-Eclampsia / therapy
Pregnancy Complications / therapy*,  ultrasonography*
Proteinuria / complications
Pulmonary Edema / therapy,  ultrasonography
Respiratory Insufficiency / therapy*,  ultrasonography*
Seizures / etiology,  therapy
Young Adult
Reg. No./Substance:
0/Diuretics; 7LXU5N7ZO5/Furosemide
Comment In:
Anaesthesia. 2014 Jun;69(6):650-1   [PMID:  24813144 ]

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