Cesarean Section in a Patient with Severe Preeclampsia with Pulmonary Edema: A Case Report

Acute pulmonary edema is a leading cause of death in patients with preeclampsia. The authors reported a case of a pregnant woman at 25 weeks of gestation with severe preeclampsia complicated by pulmonary edema, who required an emergency cesarean section, posing a significant challenge to the anesthesiologist. The patient had developed Type 1 respiratory failure and needed supplemental oxygen with high-flow nasal oxygen. Due to contraindications for neuraxial anesthesia, the cesarean section was performed under general anesthesia. After induction of anesthesia, the patient’s hypoxemia worsened. Eventually, after treatment with fluid restriction, diuretics, and albumin, oxygenation improved gradually, and the procedure was performed successfully. Both the patient and the newborn had a good prognosis.