ArticleCureus2025
Dexmedetomidine-Assisted Anesthetic Management of Empyema in a High-Risk Parturient With Cardiopulmonary Failure: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Empyema, characterized by purulent fluid collection in the pleural space, presents treatment challenges. Video-assisted thoracoscopic surgery (VATS) and computed tomography (CT)-guided chest tube drainage are the main options, each with distinct anesthetic considerations. We describe the case of a 33-year-old pregnant woman (G8P8) at 29 weeks of gestation with a large left-sided empyema, cardiopulmonary failure, and a history of complex obstetric complications, including seven previous cesarean sections, placenta accreta, and placenta previa. After thorough multidisciplinary discussions and careful risk-benefit reviews, CT-guided chest tube drainage with monitored anesthesia care was chosen over VATS. The procedure was ultimately successful, emphasizing the need for individualized, multidisciplinary decision-making in critically ill pregnant patients. CT-guided drainage emerges as a viable alternative to VATS in select cases. Additionally, this case provides an example of using dexmedetomidine in a pregnant patient; this is significant as there is minimal research and reporting in this area of use.
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