Document Detail

Pulmonary edema in near hanging.
MedLine Citation:
PMID:  22310139     Owner:  NLM     Status:  MEDLINE    
AIM: To study the incidence and outcome of pulmonary edema in patients admitted with near hanging.
MATERIALS: A retrospective analysis of 19 cases of near hanging admitted in our Emergency Department between January 2007 and December 2010 was performed. Occurrence of pulmonary edema; electrocardiographic changes; ejection fraction on echocardiography, cardiac enzymes, mechanical ventilation; and use of inotropes, mannitol, and steroids were noted.
RESULTS: Seven patients developed clinical and radiologic pulmonary edema, among whom three had electrocardiographic and echocardiographic changes that resolved before discharge. Use of mannitol precipitated edema in four, while inotropes and mechanical ventilation were instituted in three patients.
CONCLUSION: Pulmonary edema can be due to neurogenic, cardiogenic, postobstructive causes or an interplay of the three. Takotsubo cardiomyopathy/myocardial stunning related pulmonary edema seems more common than the others. Pulmonary edema occurred irrespective of level of consciousness or electrocardiographic changes and was not associated with mortality. Victims of near hanging with pulmonary edema can be effectively treated with supportive therapy.
Stalin Viswanathan; Vivekanandan Muthu; Bhavith Remalayam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  72     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-02-07     Completed Date:  2012-04-13     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-301     Citation Subset:  AIM; IM    
Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet Pondicherry, South India.
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MeSH Terms
Asphyxia / complications*,  physiopathology,  therapy
Emergency Service, Hospital
Pulmonary Edema / etiology*,  physiopathology
Retrospective Studies
Suicide, Attempted
Young Adult

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