Nicardipine-Induced Acute Pulmonary Edema : A Rare but Severe Complication of Tocolysis
Joint Authors
Nathan-Denizot, Nathalie
Cros, Jérôme
Hodler, Charles
Serena, Claire
Fedou, Anne Laure
Clavel, Marc
Begot, Emmanuelle
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-19
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
We report four cases of acute pulmonary edema that occurred during treatment by intravenous tocolysis using nicardipine in pregnancy patients with no previous heart problems.
Clinical severity justified hospitalization in intensive care unit (ICU) each time.
Acute dyspnea has begun at an average of 63 hours after initiation of treatment.
For all patients, the first diagnosis suspected was pulmonary embolism.
The patients' condition improved rapidly with appropriate diuretic treatment and by modifying the tocolysis.
The use of intravenous nicardipine is widely used for tocolysis in France even if its prescription does not have a marketing authorization.
The pathophysiological mechanisms of this complication remain unclear.
The main reported risk factors are spontaneous preterm labor, multiple pregnancy, concomitant obstetrical disease, association with beta-agonists, and fetal lung maturation corticotherapy.
A better knowledge of this rare but serious adverse event should improve the management of patients.
Nifedipine or atosiban, the efficiency of which tocolysis was also studied, could be an alternative.
American Psychological Association (APA)
Serena, Claire& Begot, Emmanuelle& Cros, Jérôme& Hodler, Charles& Fedou, Anne Laure& Nathan-Denizot, Nathalie…[et al.]. 2014. Nicardipine-Induced Acute Pulmonary Edema : A Rare but Severe Complication of Tocolysis. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-456731
Modern Language Association (MLA)
Serena, Claire…[et al.]. Nicardipine-Induced Acute Pulmonary Edema : A Rare but Severe Complication of Tocolysis. Case Reports in Critical Care No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-456731
American Medical Association (AMA)
Serena, Claire& Begot, Emmanuelle& Cros, Jérôme& Hodler, Charles& Fedou, Anne Laure& Nathan-Denizot, Nathalie…[et al.]. Nicardipine-Induced Acute Pulmonary Edema : A Rare but Severe Complication of Tocolysis. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-456731
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-456731