Publication date: Available online 31 January 2017
Source:Interdisciplinary Neurosurgery
Author(s): Ryoichi Iwata, Kunikazu Yoshimura, Yoko Fujita, Tatsuo Uesaka, Hideyuki Oshige, Akio Asai
Neurogenic pulmonary edema (NPE) is an acute life-threatening complication associated with many forms of central nervous system injury. Its pathophysiology is still debated. We report a patient with acute obstructive hydrocephalus due to a central neurocytoma who also had NPE, for which serial transpulmonary thermodilution monitoring (PiCCO) was performed. Insertion of the PiCCO, which provides information about the patient's cardiac output, preload status and amount of lung water, revealed a high pulmonary vascular permeability index (PVPI) and low global end-diastolic volume (GEDV) without cardiac dysfunction, indicating permeability edema, which led to our changing the therapeutic strategy. Using PiCCO monitoring to balance the preload and extent of pulmonary edema enabled achievement of an optimal cardiac preload for organ perfusion, resulting in normalization of pulmonary edema by day 2. PiCCO facilitates understanding of the mechanism of NPE, guiding the management of fluid balance and the choice of vasopressors in patients with life-threatening NPE.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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! # Ola via Alexandros G.Sfakianakis on Inoreader
Η λίστα ιστολογίων μου
Τετάρτη 1 Φεβρουαρίου 2017
Application of transpulmonary thermodilution monitoring (PiCCO) in patients with neurogenic pulmonary edema and acute obstructive hydrocephalus due to a central neurocytoma: A case report
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- Study of efficacy of esthetic High-Intensity Focus...
- The efficacy study of the combination of tripeptid...
- Chemotherapy-induced alopecia management: Clinical...
- Characterizing the detectability of emission signa...
- Public member dose assessment of Bushehr Nuclear P...
- Radioactivity levels in the mostly local foodstuff...
- Duplication Anomalies of the Internal Auditory Can...
- Duplication Anomalies of the Internal Auditory Can...
- Coercive Control, Physical Violence, and Masculinity
- Treatment pattern and frequency of serum TSH measu...
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Primary Thyroid Carcinoma with Low-Risk Histology ...
- Effects of Adequate Iodine Supply on the Incidence...
- Acknowledgment of Reviewers
- Shigenobu Nagataki (January 18, 1932–November 12, ...
- Future Meetings
- Blockage of androgen and administration of estroge...
- Quantifying 125I placement accuracy in prostate br...
- MRI in prostate brachytherapy: Evidence, clinical ...
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- Deformable image registration for cervical cancer ...
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- Using the Endoscopic Transconjunctival and Transca...
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Editorial Board
- Overview of Sinonasal and Ventral Skull Base Malig...
- The Making of a Skull Base Team and the Value of M...
- The Role of Chemotherapy in the Management of Sino...
- Survival, Morbidity, and Quality-of-Life Outcomes ...
- Validation of a new snoring detection device based...
- Facial nerve paralysis associated with temporal bo...
- Tell me how pleased you are with your workplace, a...
- The suppressive effects of landiolol administratio...
- Validation of a new snoring detection device based...
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