Document Detail


Fulminant noncardiogenic pulmonary edema in the critically ill.
MedLine Citation:
PMID:  720095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between the serum colloid osmotic pressure (COPs), pulmonary artery wedge pressure (PWP), and pulmonary edema fluid colloid osmotic pressure was studied in six critically ill patients with fulminant noncardiogenic pulmonary edema. The relationship between COPs and PWP was also studied in 36 critically ill patients without pulmonary edema. The COPs-PWP gradient was normal in those patients without pulmonary edema. Three patients with noncardiogenic pulmonary edema had markedly reduced COPs-PWP gradients secondary to decreases in COPs. Their pulmonary edema fluid colloid osmotic pressure averaged 61% that of their serum colloid osmotic pressure. Three patients with noncardiogenic pulmonary edema had normal COPs-PWP gradients. Their pulmonary edema fluid colloid osmotic pressure averaged 92% that of their COPs. Noncardiogenic pulmonary edema in the critically ill patient may be caused by either a decrease of COPs-PWP gradient or an increase in capillary membrane permeability.
Authors:
E C Rackow; I A Fein
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  6     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:    1978 Nov-Dec
Date Detail:
Created Date:  1979-02-21     Completed Date:  1979-02-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  360-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Albumins / analysis
Blood Proteins / analysis
Body Fluids / analysis
Capillary Permeability
Female
Humans
Male
Middle Aged
Osmotic Pressure
Proteins / analysis
Pulmonary Edema / blood,  physiopathology*
Water-Electrolyte Balance*
Chemical
Reg. No./Substance:
0/Albumins; 0/Blood Proteins; 0/Proteins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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