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Cardiogenic Pulmonary Edema - Europe PMC

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Last Updated: 11 January 2023

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Mechanical ventilation in patients with cardiogenic pulmonary edema: a sub-analysis of the LUNG SAFE study.

Background Patients with acute respiratory disease caused by cardiogenic pulmonary edema may need mechanical ventilation that can cause more lung damage. Patients from the LUNG SAFE cohort, a multicenter prospective cohort study of patients undergoing mechanical ventilation, were analyzed. A subgroup ventilated with high pressures on ICU day 1 revealed a subgroup ventilated with elevated pressures with reduced chance of being released alive from the ICU and raised hospital mortality, according to a Latent mixture review of patients receiving invasive mechanical ventilation. Conclusions: In invasively ventilated patients with CPE with CPE, increased airway pressures are correlated to mortality.

Source link: https://europepmc.org/article/MED/36567347


Case report: Hypoadrenocorticism crisis complicated by non-cardiogenic pulmonary edema in a dog.

The respiratory rate had risen to 80 bpm after initial attempts to treat hypovolemia and refractory hypotension, but no clinical improvement had been made, and serosanguineous fluid began draining from the nose and throat. An arterial blood gas sample in the room air revealed moderate hypoxemia, an elevated alveolar-arterial gradient at 54. 7, and a PaO 2 ratio of 285 mmHg. Thoracic radiographs showed a striking bilateral alveolar lung pattern that was largely restricted to the perihilar and caudodorsal lung fields. The pulmonary edema was characterized by the radiographic findings, along with signs of enduring hypovolemia, the absence of signs of long-standing acquired cardiac disease, and the rapid conclusion of the pulmonary edema without the need for diuretics or long-term cardiac medications were associated with non-cardiogenic pulmonary disease. The suspected cause of the non-cardiogenic pulmonary edema was believed to be neurogenically mediated.

Source link: https://europepmc.org/article/MED/36439343


Role of echocardiographic views adapted for lung evaluation in diagnosis of cardiogenic pulmonary edema in Dogs.

This research was conducted to see whether echocardiographic results developed for lung evaluation might help with the diagnosis of dyspnea in dogs. A prospectively enrolled fifteen chronic valvular heart disease dogs without cardiac reconstruction, 30 CVHD dogs with cardiac reconstruction, 15 CVHD dogs with cardiogenic pulmonary edema, and 15 dogs with pulmonary disease were prospectively enrolled. In both four perspectives, a POSITIVE classification distinguished dogs with pulmonary edema or disease from asymptomatic CVHD dogs. Both the best views were right on the short axis at papillary muscle level and long axis 4-cham view, both with the same sensitivity and a sensitivity of 95. 6% and 82. 2%, respectively. According to multivariate studies, cuttingoff values of peak E wave > 130, E/IVRT > 2. 5, or LA/Ao > 2. 0 identified pulmonary edema from disease with 100% specificity showed that adding cutoff values of peak E wave > 130, E/VIRT > 2. 5 or LA/Ao > 2. 0 revealed distinguishing pulmonary edema from disease with 100% specificity.

Source link: https://europepmc.org/article/MED/36323835

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions