Assessment of severe pulmonary disease in pregnancy with Swan-Ganz monitoring. A report of two cases.
Publication/Presentation Date
2-1-1985
Abstract
Two parturients with severe pulmonary disease had cardiopulmonary hemodynamics assessed by invasive techniques, and vaginal delivery was conducted under continuous epidural anesthesia. Both patients demonstrated hypoxemia (F1O2 = 0.21%) by arterial blood gas analysis. Supplemental oxygen was administered throughout the last trimester of pregnancy. The patient with chronic pulmonary fibrosis had dyspnea at rest prior to pregnancy and delivered a viable, 1,400-gm infant prematurely. She died suddenly three weeks postpartum. The second patient, 41 years old, had a twin gestation. A pneumonectomy had been performed previously for tuberculosis. The patient demonstrated numerous bouts of acute pulmonary embarrassment and pneumonia, developed gestational diabetes and dyspnea late in gestation and spontaneously delivered two viable, 1,600-gm infants prematurely. All did well. Swan-Ganz catheters were used to assess cardiopulmonary hemodynamics in both patients. Epidural anesthesia was used successfully in both.
Volume
30
Issue
2
First Page
133
Last Page
138
ISSN
0024-7758
Published In/Presented At
Smythe, A. R., Gallery, G. P., Jr, & Kraynack, B. (1985). Assessment of severe pulmonary disease in pregnancy with Swan-Ganz monitoring. A report of two cases. The Journal of reproductive medicine, 30(2), 133–138.
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
3981492
Department(s)
Department of Anesthesiology
Document Type
Article