Evidence map›Paper›PMID 41835753›Full record

ArticleCureus2026

Unilateral Pulmonary Edema Associated With Prolonged Lateral Decubitus Positioning During Tocolytic Therapy in Pregnancy: A Case Report.

Kei Takumi, Toshihito Mihara, Mao Kinoshita

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kei TakumiDepartment of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto, JPN.
Toshihito MiharaDepartment of Anesthesiology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, JPN.
Mao KinoshitaDepartment of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripartum pulmonary edema is rare but potentially life-threatening for both the mother and fetus. Unilateral pulmonary edema is particularly uncommon and can mimic pneumonia, delaying appropriate diagnosis because of atypical radiologic findings. A 28-year-old pregnant woman (G3P1) hospitalized for threatened preterm labor received ritodrine hydrochloride and magnesium sulfate. At gestational week 25, she suddenly developed chest pain, dyspnea, and hypoxemia. Chest X-ray revealed unilateral, left-sided pulmonary infiltrates. Cardiac evaluation showed no evidence of cardiogenic pulmonary edema, and infection was excluded, suggesting drug-induced pulmonary edema. Tocolytic agents were discontinued; however, respiratory failure necessitated emergency cesarean delivery. Postoperatively, pulmonary edema rapidly improved with intensive care. A detailed history revealed prolonged left lateral decubitus positioning before symptom onset. Drug-induced pulmonary edema combined with prolonged lateral positioning may predispose pregnant women to unilateral pulmonary edema. Awareness of positional effects during tocolytic therapy is important for early diagnosis.

Indexed as

lateral decubitus positionpregnancyritodrinetocolytic therapyunilateral pulmonary edema

Identifiers

PMID41835753
PMCPMC12983116

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.