Ismail, A., Mohammed, S., Ezzat, M., Mahmoud, H. (2020). Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia. test, 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". test, 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', test, 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. test, 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
Statistics
Article View: 308
PDF Download: 331