Document Detail

Preoperative intermittent positive pressure respiration as preparation for emergency valvular surgery for pulmonary edema.
MedLine Citation:
PMID:  340419     Owner:  NLM     Status:  MEDLINE    
Immediate emergency surgery is the accepted treatment of intractable pulmonary edema due to valvular heart disease. The presence of severe tissue hypoxia, acidosis, low cardiac output state and renal insufficiency results in a high operative risk. Delay of operation by several hours may prove advantageous in that it permits improvements of the patient's condition by means of intermittent positive pressure respiration with correction of acidosis and at the same time allows for treatment of the cardiac failure. Three illustrative cases are presented, all successfully managed by preoperative treatment in an intensive care unit. The pathophysiological basis of this therapeutic approach is discussed.
E Klein; G Uretizky; J T Davidson; J B Borman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Israel journal of medical sciences     Volume:  13     ISSN:  0021-2180     ISO Abbreviation:  Isr. J. Med. Sci.     Publication Date:  1977 Dec 
Date Detail:
Created Date:  1978-03-21     Completed Date:  1978-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0013105     Medline TA:  Isr J Med Sci     Country:  ISRAEL    
Other Details:
Languages:  eng     Pagination:  1211-6     Citation Subset:  IM    
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MeSH Terms
Heart Valve Diseases / complications,  surgery*
Intermittent Positive-Pressure Breathing*
Positive-Pressure Respiration*
Preoperative Care
Pulmonary Edema / etiology,  therapy*

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