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Query: UMLS:C0034063 (pulmonary edema)
10,665 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A new method has been developed to detect interstitial pulmonary edema. This method utilizes the unique arrangement of air and interstitial fluid within the lung. A 1.3-mm-diam twin catheter electrode was wedged in a peripheral airway of the lung. The electrical impedance measured at 35 kHz between these catheter-tip electrodes was 1,540 +/- 240 omega (mean +/- SD; n = 10) in the anesthetized closed-chest dog. Intravenous infusion of 1-3 liters 0.154 M NaCl increased extravascular water per gram of dry lung from a control value of 3.54 +/- 0.27 to 4.1-5.14. Peribronchial electrical impedance decreased in proportion to the amount of saline infused reaching a minimum of 550 omega. No signs of alveolar flooding were present during the experiments. Linear regression performed on peribronchial electrical admittance (PEA) as a function of extravascular water per gram of dry lung (ELW) resulted in the following relationship: PEA = 0.72 ELW - 1.81; r = 0.95. It is concluded that this method is a sensitive quantitative measure of lung interstitial fluid and can detect pulmonary edema and congestion in the dog lung before alveolar flooding occurs.
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PMID:Peribronchial electrical admittance measures lung edema and congestion in the dog. 740 16

A 1-year-old child with no pre-existing cardiac or respiratory disease developed frank pulmonary oedema after administration of a neostigmine-glycopyrrolate mixture to reverse neuromuscular blockade during general anaesthesia. Possible cardiac and extra-cardiac factors that could cause pulmonary oedema in this child were ruled out by appropriate investigations. As the pulmonary oedema manifested shortly after administration of the neostigmine-glycopyrrolate mixture, we concluded that neostigmine was the most probable cause. This article briefly reports the occurrence of events and successful management of perioperative pulmonary oedema.
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PMID:Neostigmine and pulmonary oedema. 2519 91

A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84-88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. His respiratory condition improved and he was extubated successfully on the 6th hospital day. The patient had no obvious neurological defects and he was discharged in a stable condition after 17 days of hospitalization. Our case report demonstrates the advantages of therapeutic hypothermia on survival and neurological outcomes in treating pediatric near drowning patients.
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PMID:Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning. 2875 54