Avtor/Urednik     Galič, Lucija; Fabjan, Andrej; Homar, Vesna
Naslov     Hyper-acute neurogenic pulmonary oedema in a prehospital setting
Tip     članek
Leto izdaje     2021
Obseg     str. str.
ISSN     1334-5605 - Signa vitae : specialized medical journal
Jezik     eng
Abstrakt     Introduction: Neurogenic pulmonary oedema (NPO) is a form of pulmonary oedema which can develop after an acute central nervous system (CNS) lesion, most often a subarachnoid haemorrhage (SAH). Its pathogenesis is associated with a surge of catecholamines which are released into the systemic circulation following an abrupt increase in intracranial pressure or a strategic CNS lesion. NPO typically presents with dyspnoea, tachypnoea, hypoxia, pink frothy sputum, bilateral crackles on auscultation, and bilateral infiltrates on chest X-ray in a few hours or days following the event. Case report: The following case report describes a case of hyper-acute NPO following a SAH, which presented as acute respiratory failure in the minutes after the event and required fast and aggressive treatment in the prehospital setting. Conclusion: The management of NPO is primarily focused on prompt diagnosis and treatment of a CNS event and supportive care.
Proste vsebinske oznake     pulmonary oedema
prehospital emergency care
neurology
pljučni edem
prehospitalna nujna oskrba
nevrolofija