1999;353:1412–3, 46. 3. 1994;44:815–20, 9. McClellan MD, Dauber IM, Weil JV. Get new journal Tables of Contents sent right to your email inbox, April 2013 - Volume 116 - Issue 4 - p 855-861, Neurogenic Pulmonary Edema in Patients with Nontraumatic Intracerebral Hemorrhage: Predictors and Association with Outcome, Articles in Google Scholar by Eija Junttila, MD, Other articles in this journal by Eija Junttila, MD, Consensus Guidelines for the Management of Postoperative Nausea and Vomiting, Hyperchloremia After Noncardiac Surgery Is Independently Associated with Increased Morbidity and Mortality: A Propensity-Matched Cohort Study, Anesthetic Management During Cardiopulmonary Bypass: A Systematic Review, Development of Rapidly Metabolized and Ultra-Short-Acting Ketamine Analogs, The Effect of Systemic Magnesium on Postsurgical Pain in Children Undergoing Tonsillectomies: A Double-Blinded, Randomized, Placebo-Controlled Trial, International Anesthesia Research Society. 2006;32:1547–52, 28. Neurosurgery. A radiologist (AV) reviewed chest radiographs and categorized any findings of edema.25 A diagnosis of NPE was made if bilateral, symmetric, smooth and diffuse, alveolar edema-like infiltrates were present in the chest radiograph (score ≥2) and PaO2/fraction of inspired oxygen was <40 kPa (<300 mm Hg)26 on the same day. 2004;35:548–51, 36. The interactions between the variables in the final model were calculated and found nonsignificant (P value >0.19 in all). 2009;11:177–82, 17. You may be trying to access this site from a secured browser on the server. Avoid secondary spinal cord injury: Spinal cord perfusion pressure: goal MAP > 85-90 (IV fluids, vasopressors) With the exception of the higher APACHE II scores in NPE patients, there were no differences in clinical characteristics between the NPE and non-NPE patients. This was an observational study of patients admitted to the tertiary level ICU over a 2-year period, from December 2007 to December 2009. . 2009;11:177–82, 39. Contribution: This author helped design the study, conduct the study, and write the manuscript. Neurogenic pulmonary edema most commonly develops within a few hours after a neurologic insult, and is characterized by dyspnea, bilateral basal pulmonary crackles, and the absence of … Neurogenic pulmonary oedema was first reported in association with status epilepticus in 1908 and with head injury in 1918. NPE has been described after grand mal seizures and subarachnoid hemorrhage, but also after retrobulbar [4,5] and trigeminal nerve blocks [6] . 2007;38:2001–23, 24. Non-traumatic intracranial hemorrhage. Neurogenic pulmonary edema in patients with subarachnoid hemorrhage. 2006;34:196–202, 5. The data considering the mechanisms are insufficient and, for the most part, consist of experimental animal studies6,13,17,18 and case series or research reports with relatively small sample sizes,7–9,11,14 as well as some studies using retrospective data collection.4 In particular, the specific role of inflammation in the development of NPE is unknown. In this study, we evaluated the predictors for NPE and its association with outcome in patients with intensive care unit–treated nontraumatic intracranial hemorrhage. He had no previous surgery or anesthesia. A chest radiograph and arterial blood gas analysis were taken serially and NPE was determined as acute bilateral infiltrates in chest radiograph and hypoxemia. Of patients with 0, 1, or 2 predictors mentioned above, 4%, 37%, and 65% had NPE, respectively, and further, 3% of NPE patients had 0 risk factors. Please try again soon. Intensive Care Med. Nevertheless, the differences between NPE and non-NPE patients were significant even in the smaller sample size of patients who had their inflammatory mediators examined. The patient was premedicated wit… 1995;4:186–92, 7. Of patients with 0, 1, or 2 predictors mentioned above, 4%, 37%, and 65% had NPE, respectively. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Knaus WA, Draper EA, Wagner DP, Zimmerman JE. your express consent. Chest x-ray was normal. Neurogenic pulmonary edema. Neurocrit Care. Usually it occurs without a cardiovascular or respiratory etiology that … A subdural balloon catheter was inflated for 60 s to produce intracranial hypertension. Summary measurements were expressed as a mean with standard deviation or as a median with 25th–75th percentile, unless otherwise stated. The patient was 6 feet tall and weighed 200 pounds. PMID: 22429697. Laryngospasm associated with intubation and general anesthesia is a common cause of pulmonary edema in children. Baumann A, Audibert G, McDonnell J, Mertes PM. Craniotomy was performed in 42 patients (39%) before the first study blood samples and in 51 (47%) during the entire study period. 9 Postobstructive pulmonary edema in dogs and cats is probably much more common than diagnosed. Smith WS, Matthay MA. According to the multivariate logistic regression analyses, the independent predictors for NPE were higher APACHE II scores (≥20, OR 6.17, lower 99% CI 1.30, P = 0.003) and higher IL-6 concentrations (>40 pg/mL, OR 5.62, lower 99% CI 1.26, P = 0.003) (Table 3). The flowchart of the study is shown in Figure 1. Diffuse pulmonary disease. Risk factors for 1-year mortality in patients with nontraumatic intracranial hemorrhage requiring intensive care. Attestation: Karl-Heinz Herzig has seen the original study data, reviewed the analysis of the data, and approved the final manuscript. J Cereb Blood Flow Metab. It is a well-recognized phenomenon in patients with intracranial insult but data on the exact pathophysiologic mechanisms are unclear.1 In cases of nontraumatic intracranial hemorrhage (subarachnoid hemorrhage [SAH], intracerebral hemorrhage [ICH], and intraventricular hemorrhage [IVH]),2 data are based on studies in patients with SAH and in some sporadic case reports in patients with ICH. This finding might be related to the small sample size. Am J Respir Crit Care Med. Clinical practice: acute pulmonary edema. J Appl Physiol. 1997;78:520–3, 45. The manuscript of pulmonary edema jennett B, Bond M. Assessment of outcome after subarachnoid hemorrhage dysfunction and infarction! 38 ( 35 % ), 301-223-2300 ( international ) [ email protected ] … del hyperactivity during sudden hypertension... And ICU mortality were recorded and increased left ventricular afterload oedema other than cardiogenic are encountered it not... 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