Case Report

Nicardipine-Induced Acute Pulmonary Edema: A Rare but Severe Complication of Tocolysis

Table 3

Published case reports on APE occurring during a tocolytic treatment with nicardipine.

AuthorsPremature labor termNicardipine maximal flow rateAssociated treatmentsPatients characteristics

Vaast et al. [31]5 cases29.2 WA (mean)6 mg/hIM corticosteroids2 TwP, 1 TrP, GDM, and cardiovascular history
Bal et al. [49]1 case27 WA2 mg/hIM corticosteroidsNo history
Chapuis et al. [32]1 case30 WA + 2 days2.2 mg/hIM corticosteroids and IV salbutamolTwP and 2 abortions
Janower et al. [34]3 cases29 WA (mean)4 mg/hIM corticosteroids and IV salbutamolGDM
Philippe et al. [33]3 cases31 WA (mean)MDIM corticosteroids and IV atosibanSmoking and 1 TwP
Akerman et al. [30]4 cases29 WA (mean)MDIM corticosteroids, sup. salbutamol, and IV atosiban3 TwP and IDD

: number of cases; WA: weeks of amenorrhea; IM: intramuscular; IV: intravenous; TwP: twin pregnancy; TrP: triplet pregnancy; MD: missing data; GDM: gestational diabetes mellitus; sup.: suppository; IDD: insulin dependent diabetes.