Document Detail

Misplacement of central venous pressure catheters and unilateral pulmonary edema.
MedLine Citation:
PMID:  1190934     Owner:  NLM     Status:  MEDLINE    
Two instances of misplacement of a central venous pressure monitoring catheter into a pulmonary artery are presented. In one case, reported in detail, unilateral pulmonary edema developed during administration of 0.5N saline for the treatment of diabetic acidosis via the misplaced catheter, and it reverted following repositioning of the catheter in the superior vena caca. Experiments were carried out in dogs to explore possible causes of this phenomenon. The results of these experiments suggest that the release of vasoactive substances, stimulation of neural reflexes, or both are the pathophysiological mechanisms responsible for the development of the pulmonary edema.
H D Royal; J B Shields; R M Donati
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  135     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1975 Nov 
Date Detail:
Created Date:  1976-01-17     Completed Date:  1976-01-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1502-5     Citation Subset:  AIM; IM    
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MeSH Terms
Catheterization / adverse effects*
Central Venous Pressure*
Infusions, Parenteral
Middle Aged
Pulmonary Artery*
Pulmonary Edema / etiology*
Saline Solution, Hypertonic
Sodium Chloride
Reg. No./Substance:
0/Saline Solution, Hypertonic; 7647-14-5/Sodium Chloride

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

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