Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia
Ismail, A., Mohammed, S., Ezzat, M., Mahmoud, H. (2020). Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia. EKB Journal Management System, 3(2), 34-40. doi: 10.21608/svuijm.2020.111900
Ahmed MA Ismail; Salah A Mohammed; Mohamed AW Ezzat; Hamza AA Mahmoud. "Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia". EKB Journal Management System, 3, 2, 2020, 34-40. doi: 10.21608/svuijm.2020.111900
Ismail, A., Mohammed, S., Ezzat, M., Mahmoud, H. (2020). 'Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia', EKB Journal Management System, 3(2), pp. 34-40. doi: 10.21608/svuijm.2020.111900
Ismail, A., Mohammed, S., Ezzat, M., Mahmoud, H. Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia. EKB Journal Management System, 2020; 3(2): 34-40. doi: 10.21608/svuijm.2020.111900

Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia

SVU-International Journal of Medical Sciences
Article 7, Volume 3, Issue 2, July 2020, Pages 34-40    PDF (238.31 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2020.111900
Authors
Ahmed MA Ismail* 1; Salah A Mohammed1; Mohamed AW Ezzat2; Hamza AA Mahmoud1
1Anesthesia, intensive care and pain management department, Sohag Faculty of medicine, Sohag University
2Internal medicine department, Sohag Faculty of medicine, Sohag university
Abstract
Background:severe preeclampsia (PET) is one of the hypertensive diseases of pregnancy associated with significant morbidity and mortality and require special monitoring, lung ultrasonography is a novel monitoring and diagnostic tools in intensive care and widely used nowadays with early detection of pulmonary oedema. Patients and Methods:this was a cross sectional study of 55 patients with severe preeclampsia,35 case with eclampsia and 60 healthy controls. Lung ultrasonography was done to detect B lines in 12 lung zone postoperatively in both cases and controls fluid input and output is encounted. Results:Median (Min- Max) of lung sonar was higher in severe PET than in controls p value = .0001. B lines were observed in 47.2% and 8.3% in eclampsia ,severe PET and controls respectively. There was highly statistically significant difference between cases and controls as regards input and output as ( P=.005), ( P=.003) respectively as input and output was higher in control group than cases group) While there was no statistical significance difference between cases and controls as regards net balance as (P=.09). complications occur in higher percentage in cases than control. Conclusions: Restrictedfluid policy is indicated with the finding of B pattern especially with higher lung ultrasound score. Early management in patients with high B line score (pulmonary congestion) even before development of clinical manifestations should be considered.
Keywords
severe preeclampsia; eclampsia; lung ultrasonography; B lines
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