1.Two cases with crush syndrome complicated with pulmonary edema.
Sheng HAO ; Guang-hua ZHU ; Wei-xun HE
Chinese Journal of Pediatrics 2009;47(5):391-392
Child
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Crush Syndrome
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complications
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Female
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Humans
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Male
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Pulmonary Edema
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complications
2.Neurogenic pulmonary edema.
Chinese Journal of Pediatrics 2008;46(7):510-512
3.Severe pneumonia complicated by heart failure, pulmonary edema edema and cerebral edema: a case report.
Chinese Journal of Contemporary Pediatrics 2009;11(12):1033-1033
Brain Edema
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etiology
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Female
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Heart Failure
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etiology
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Humans
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Infant
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Pneumonia
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complications
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Pulmonary Edema
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etiology
4.Effects of resuscitation with different kinds of colloids on pulmonary edema in swine in shock stage of severe burn injury.
Xiao-en YOU ; Jiong CHEN ; Jian-jun ZHOU ; Nan XING ; Jian-wu SHI ; Guo-liang SU
Chinese Journal of Burns 2013;29(3):272-276
OBJECTIVETo observe and compare the effects of natural colloid and artificial colloid on pulmonary edema of swine during shock stage of severe burn injury.
METHODSTwelve Guangxi Bama miniature swine were inflicted with 40% TBSA full-thickness burn on the back, and then they were divided into natural colloid group (N) and artificial colloid group (A) according to the random number table, with six swine in each group. At post injury hour (PIH) 2, fluid resuscitation was begun. The main part of electrolyte was lactic acid Ringer's solution. The colloids included swine plasma and hydroxyethyl starch 130/0.4. Before injury and at every hour within PIH 48, heart rate, blood pressure, urine volume, central venous pressure (CVP), and pulmonary arterial wedge pressure (PAWP) were recorded. The mean heart rate, blood pressure, urine volume per hour per kg of body weight, CVP, PAWP, resuscitation liquid volume, and the ratio of fluid intake to output during the first and second PIH 24 were calculated. At PIH 48, lung tissue was harvested for histopathological observation and calculation of lung water ratio. Data were processed with one-way analysis of variance, analysis of variance of repeated measurement, LSD test and independent sample t test.
RESULTS(1) There were no statistically significant differences between two groups in heart rate, blood pressure, and urine volume before injury and during the first and second PIH 24 (P values all above 0.05); during the first PIH 24, the CVP and PAWP of group A were significantly higher than those of group N (P values all below 0.05). Compared with those before injury, the heart rate, CVP and PAWP of two groups during the first and second PIH 24 were significantly higher (P < 0.05 or P < 0.01); the urine volume of group N was decreased during the first PIH 24 (P < 0.05), while there was no significant change in group A (P > 0.05); the urine volumes of two groups during the second PIH 24 were increased, while no statistically significant differences were observed (P values all above 0.05). There were no statistically significant differences in blood pressure of two groups between the first, second PIH 24 and before injury (P values all above 0.05). (2) There were no statistically significant differences in the resuscitation liquid volume and fluid intake to output ratio between two groups during the first and second PIH 24 (P values all above 0.05). (3) The alveolar septum was found widened in varying degrees, and there were edema fluid accumulating and inflammatory cell infiltrating within the pulmonary interstitial of lung tissue sections in both two groups. (4) The lung water ratio of group N [(71 ± 10)%] was not statistically significant different from that of group A [(79 ± 4)%, t = -1.753, P > 0.05].
CONCLUSIONSThe natural colloid or artificial colloid (hydroxyethyl starch 130/0.4) applied during shock stage had similar effects on pulmonary edema in swine with severe burn.
Animals ; Burns ; complications ; Disease Models, Animal ; Fluid Therapy ; methods ; Pulmonary Edema ; etiology ; Shock ; complications ; therapy ; Swine
5.Fluid resuscitation in a patient with severe hypovolemic shock and severe pulmonary capillary leak.
Haiting XIE ; Zhongli LI ; Duobin WU ; Ping CHANG ; Zhanguo LIU
Journal of Southern Medical University 2014;34(1):137-140
A male patient undergoing extracorporeal ultrasound lithotripsy developed the symptoms of dyspnea, low blood pressure, palpitations, chest tightness, and sweating, and a clinical diagnosis of pulmonary capillary leak and hypovolemic shock was made. Pulse indicator continuous cardiac output (PiCCO) technique was used for resuscitation according to the measurements of extravascular lung water index (EVLWI) and global end-diastolic volume index (GEDI). The patient showed low levels of cardiac output (CO) and GEDI with a peak EVLWI of 32 ml/kg and profuse pink and thin sputum overflow from the trachea. The high ventilator support parameters failed to correct low oxygen saturation. Restricted fluid infusion was used to reduce pulmonary edema. Colloidal solution was given when GEDI was below 500 ml/m(2), and the volume and fluid infusion rate were reduced for a GEDI higher than 500 ml/m(2). Pulmonary edema was gradually reduced after the treatments with improvement of lactic acid level and liver and kidney functions. Vasopressors were withdrawn 6 days later, mechanical ventilation was discontinued 10 days later, and tracheal intubation was removed 25 days later, after which the patient was discharged. In the treatment of the patient, PiCCO monitoring played an important role.
Adult
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Capillary Leak Syndrome
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complications
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therapy
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Fluid Therapy
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Humans
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Lithotripsy
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adverse effects
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Male
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Pulmonary Edema
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complications
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therapy
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Shock
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complications
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therapy
6.Negative Pressure Pulmonary Edema Associated with Anterior Cervical Spine Surgery.
Hideki SHIGEMATSU ; Masana YONEDA ; Yasuhito TANAKA
Asian Spine Journal 2014;8(6):827-830
We report a very rare case of negative pressure pulmonary edema (NPPE) that occurred immediately after anterior cervical discectomy and fusion (ACDF). The patient was a 25-year-old man who sustained a facet fracture-dislocation of C5 during a traffic accident. After ACDF, he developed NPPE and needed mechanical ventilation. Fortunately, he recovered fully within 24 hours. NPPE is a rare postoperative complication that may occur after cervical spine surgery. The aims of this report are to present information regarding the diagnosis and emergent treatment of NPPE, and to review the previous literature regarding this serious complication.
Accidents, Traffic
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Adult
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Diagnosis
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Diskectomy
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Humans
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Postoperative Complications
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Pulmonary Edema*
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Respiration, Artificial
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Spine*
7.Prolonged effect of nicardipine used for deliberate hypotension in scoliosis surgery: A case report.
Sae Cheol OH ; Kyudon CHUNG ; Hyun Sook CHO ; Keon Hee RYU ; Sung Ah CHO ; Sang Mook LEE
Anesthesia and Pain Medicine 2010;5(4):317-320
Postoperative respiratory complications following scoliosis surgery are high incidence. In this case, fifty year-old male patient was admitted for thoracolumbar screw fixations and developed postoperative pulmonary edema. This was most likely due to prolonged administration of nicardipine, which over time may inadvertently cause hypotension. As a result of volume overload, interstitial pulmonary edema and pleural effusion occurred. Moreover, pulmonary edema and pleural effusion appeared on the right side first and spread to the left. This phenomenon could be explained by the positioning of scoliosis patient. The cause of pulmonary edema was volume overload initiated by prolonged effect of nicardipine.
Humans
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Hypotension
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Incidence
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Male
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Nicardipine
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Pleural Effusion
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Postoperative Complications
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Pulmonary Edema
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Scoliosis