Preeclampsia with severe features remains a leading contributor to maternal morbidity and mortality, particularly in low- and middle-income countries. It is defined by hypertension and involvement of multiple organ systems, including renal, hepatic, hematologic, and neurologic pathways. The interplay of endothelial dysfunction, capillary leakage, and disrupted fluid balance in these patients increases their susceptibility to perioperative pulmonary complications. Although respiratory complications in preeclampsia are clinically significant, the true incidence of postoperative diaphragmatic dysfunction in women with severe disease is not well established. Existing literature largely emphasizes general respiratory failure, pulmonary edema, or the need for mechanical ventilation, rather than specifically evaluating diaphragmatic performance with objective methods such as ultrasound. The current study sought to determine the incidence and identify risk factors for postoperative diaphragmatic dysfunction in women with severe preeclampsia following cesarean delivery.
Study Type
OBSERVATIONAL
Enrollment
52
Cairo University Hospitals
Cairo, Egypt
RECRUITINGThe incidence of postoperative diaphragmatic dysfunction
diaphragmatic dysfunction is defined as a mean diaphragmatic excursion of less than 10 mm
Time frame: Diaphragmatic excursion is measured before and 24 hours after surgery.
Percentage of change in DE
Percentage of change in diaphragmatic excursion from baseline to 24 hours after surgery
Time frame: 24 hours after surgery
Risk factors associated with postoperative diaphragmatic dysfunction
Regression analysis to detect risk factors
Time frame: 24 hours after surgery
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