Advertisement

Hemodynamic observations in severe preeclampsia complicated by pulmonary edema

      This paper is only available as a PDF. To read, Please Download here.
      Ten patients with severe preeclampsia complicated by pulmonary edema were studied with invasive hemodynamic monitoring. Eight of 10 patients developed pulmonary edema during the postpartum period. Five patients had alterations in the colloid osmotic pressure-pulmonary artery wedge pressure gradient related to elevations in the pulmonary artery wedge pressure and a reduction in the colloid osmotic pressure. Three patients had hemodynamic findings consistent with pulmonary capillary leak. Two patients had evidence of left ventricular failure. In three of the patients, the central venous pressure was significantly lower than the simultaneously determined pulmonary artery wedge pressure during the acute phase of the pulmonary edema.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Benedetti TJ
        Cardiac problems in pregnancy. Alan R. Liss, New York1982: 179-190
        • Crandall ED
        • Staub NC
        • Goldberg HS
        • Effrog RM
        Recent developments in pulmonary edema.
        Ann Int Med. 1983; 99: 808-822
        • Benedetti TJ
        • Carlson RW
        Studies of colloid osmotic pressure in pregnancy-induced hypertension.
        Am J Obstet Gynecol. 1979; 135: 308-311
        • Cotton DB
        • Benedetti TJ
        Use of the Swan-Ganz catheter.
        Obstet Gynecol. 1980; 56: 641-645
        • Berkowitz RI
        • Rafferty TD
        Invasive hemodynamic monitoring in critically ill pregnant patients: role of SwanGanz catheterization.
        ; Am J Obstet Gynecol. 1980; 137: 127
        • Fein A
        • Grossman RF
        • Jones- JG
        • Overland E
        • Pitts L
        • Murry J
        • Staub NC
        The value of edema fluid protein measurement in patients with pulmonary edema.
        Am J Med. 1979; 67: 32-38
        • Benedetti TJ
        • Benedetti JK
        • Stenchever MS
        Severe preeclampsia maternal and fetal outcome.
        Clin Exp Hypertens [B]. 1982; 263: 401-416
        • Anderson FH
        • Lynch JP
        • Johnson TRB
        Adult respiratory distress syndrome in obstetrics and gynecology.
        Obstet Gynecol. 1980; 55: 291-295
        • Strauss RG
        • Keefer JR
        • Burke T
        • Civett JM
        Hemodynamic monitoring of cardiogenic pulmonary edema complicating toxemia of pregnancy.
        Obstet Gynecol. 1980; 55: 170-174
        • Benedetti TJ
        • Cotton DB
        • Read JA
        • Miller FC
        Hemodynamic observations in severe preeclampsia using a flowdirected pulmonary artery catheter.
        Am J Obstet Gynecol. 1980; 136: 465-470