Neurogenic pulmonary oedema in man: aetiology and management with vasodilators based on haemodynamic studies
Autor: | T. C. K. Brown, G. L. Klug, B. Edis, P. M. Loughnan |
---|---|
Rok vydání: | 1980 |
Předmět: |
Male
Nitroprusside Phenoxybenzamine medicine.medical_treatment Vasodilator Agents Hemodynamics Vasodilation Pulmonary Edema Critical Care and Intensive Care Medicine Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine Positive airway pressure medicine Intubation Intratracheal Craniocerebral Trauma Humans 030212 general & internal medicine Child business.industry Tracheal intubation Isoproterenol 030208 emergency & critical care medicine Anesthesiology and Pain Medicine Anesthesia Breathing medicine.symptom Complication business Vasoconstriction medicine.drug |
Zdroj: | Anaesthesia and intensive care. 8(1) |
ISSN: | 0310-057X |
Popis: | Acute pulmonary oedema is a rare complication of head injury. A case is reported in which the pulmonary oedema was treated initially by tracheal intubation, constant positive airway pressure, ventilation and isoprenaline. Subsequent treatment was by vasodilatation with sodium nitroprusside and phenoxybenzamine and the patient made a good recovery. The findings are discussed in relation to reported experimental work. The aetiology appears to be related to a massive sympathetic discharge leading to systemic vasoconstriction, shift of blood to the pulmonary circulation with left ventricular failure and pulmonary oedema. |
Databáze: | OpenAIRE |
Externí odkaz: |