P012: MANAGEMENT OF FLASH PULMONARY EDEMA IN A PREGNANT PATIENT UNDERGOING GENERAL ANESTHESIA
Austin Smith, DO; Matthew Maggio, MD; James Morrow, MD; Caleb Stalls; Oleg Desyatnikov, DO; Kendall Regional Medical Center
Introduction: Management of pulmonary edema can be very challenging in patients, even more so when a patient is pregnant. Flash pulmonary edema is as it sounds, comes on very quickly and can be lethal if not treated promptly. There are a few causes of pulmonary edema under general anesthesia, and we will try to explain for the cause in this case.
Case Presentation: The patient was a 34-year-old female who was currently 21 weeks pregnant presenting for Robotic assisted Cerclage. She had previous miscarriages and was undergoing this procedure to try and do everything possible to have a pregnancy up to term.
Discussion: The discussion will go over the details leading up to the time the patient developed the flash pulmonary edema. How we first recognized that something was wrong, how we initially treated the patient and finally how the case ended. Unique factors to the case, was the patient had some predispositions that could of lead the her condition, as well as a possible side effect of a medication that was given intraoperatively.
Conclusion: This case will further our understanding of the possible causes of pulmonary edema under general anesthesia. We will discuss ways to try and prevent, if at all possible. Then we will discuss the different management techniques that can be utilized if you may come across this problem in or out of the OR.