Intensive Care Research

In Press, Corrected Proof, Available Online: 2 September 2021

Acute Fulminant Eclampsia with Cardiopulmonary arrest, Pulmonary Oedema and PRES: Maternal and Fetal Outcome

Authors
Papa Dasari*, ORCID, M. Nithin
Department of OBGY, JIPMER, Puducherry, India
*Corresponding author. Email: dasaripapa@gmail.com
Corresponding Author
Papa Dasari
Received 13 May 2021, Accepted 26 August 2021, Available Online 2 September 2021.
DOI
https://doi.org/10.2991/icres.k.210830.001How to use a DOI?
Keywords
Fulminant eclampsia, cardiac arrest, PRES, pulmonary oedema
Abstract

Complicated eclampsia resulting in cardiac arrest and subsequent fetal and maternal survival is rare. A 25-year-old primigravida was referred after initial resuscitation for cardiac arrest following a maternal collapse during pregnancy due to eclampsia at 36 weeks of pregnancy. The diagnosis at referral was antepartum eclampsia, pulmonary oedema and intrauterine fetal death. Re-evaluation revealed presence of fetal cardiac activity on ultrasound and an immediate emergency Caesarean Section was carried out and a live baby with APGAR of 3/10 was delivered and cared for in neonatal intensive care unit after intubation and positive pressure ventilation. Mother was managed in obstetric intensive care unit and was on ventilator for 72 h. She was treated for pulmonary oedema and persistent hypertensive crisis requiring multiple antihypertensives including nitroglycerine. Her echocardiogram showed global hypokinesia and left ventricular ejection fraction of 45% on day 1 which later improved to normal by day 15. MRI brain showed features of posterior reversible encephalopathy syndrome. She was given levitricetam for seizure prophylaxis. In addition, she required treatment for aspiration pneumonia. She was discharged after 16 days on two antihypertensive drugs along with her baby in good health. Timely resuscitation following cardiac arrest and transport to a tertiary care centre and control of hypertensive crisis with multidisciplinary care were the life-saving factors in this case.

Copyright
© 2021 First Affiliated Hospital of Zhengzhou University. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Intensive Care Research
Publication Date
2021/09/02
ISSN (Online)
2666-9862
DOI
https://doi.org/10.2991/icres.k.210830.001How to use a DOI?
Copyright
© 2021 First Affiliated Hospital of Zhengzhou University. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Papa Dasari
AU  - M. Nithin
PY  - 2021
DA  - 2021/09/02
TI  - Acute Fulminant Eclampsia with Cardiopulmonary arrest, Pulmonary Oedema and PRES: Maternal and Fetal Outcome
JO  - Intensive Care Research
SN  - 2666-9862
UR  - https://doi.org/10.2991/icres.k.210830.001
DO  - https://doi.org/10.2991/icres.k.210830.001
ID  - Dasari2021
ER  -