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, Page 34-40 PDF (238.31 K) | ||||
Document Type: Original research articles | ||||
DOI: 10.21608/svuijm.2020.111900 | ||||
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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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