medigraphic.com
ISSN 2448-8909 (Print)

2010, Number 2

<< Back Next >>

Med Crit 2010; 24 (2)

Current events in neurologic intensive therapy. Neurogenic pulmonary edema

Carrillo ER, Castro PF, Leal GP, Carrillo CJR, Carrillo CLD

Language: Spanish
References: 42
Page: 59-65
PDF size: 78.12 Kb.


ABSTRACT

Neurogenic pulmonary edema (NPE) is a life-threatening complication defined as an acute pulmonary edema occurring shortly alter a central neurologic insult. NPE is under-diagnosed in acute neurologic injuries. The objective of this paper is review the current knowledge about the etiology and pathophysiology of NPE. The roles of systemic sympathetic discharge, central nervous system trigger zones, inflammation, cardiac dysfunction, pulmonary capillary pressure, Starling equation and anesthesia in the etiopathogenesis of NPE are considered in detail. The diagnosis and management are also discussed.


REFERENCES

  1. Shanahan WT. Pulmonary edema in epilepsy. NY Med 1908;87:54-56.

  2. Leal Filho MB, Morandin RC, De Almeida AR, Cambiucci EC, Borges G, Gontijo JA, Metze K. Hemodynamic parameters and neurogenic pulmonary edema following spinal cord injury: an experimental model. Arch Neuropsiquiatr 2005;63:990-996.

  3. Brambrink AM, Dick WF. Neurogenic pulmonary edema. Pathogenesis, clinical picture and therapy. Anaesthesist 1997;46:953-963.

  4. Friedman JA, Pichelman MA, Piepgras DG. Pulmonary complications of aneurismal subarachnoid hemorrhage. Neurosurgery 2003;52:1025-1031

  5. Solenski NJ, Haley EC, Kassell NF. Medical complications of aneurysmal subarachnoid hemorrhage: a report of the multicenter cooperative aneurysm study. Participants of the Multicenter Cooperative Aneurysm Study. Crit Care Med 1995;23:1007-1010.

  6. Rogers FB, Shackford SR, Trevisiani GT, Davis JW, MacKersie RC, Hoyt DB. Neurogenic pulmonary edema in fatal and nonfatal head injuries. J Trauma 1995;39:360-366.

  7. Mulroy JJ, Mickell JJ, Tong TK, Pellock JM. Postictal pulmonary edema in children. Neurology 1985;35:403-405.

  8. Simon RP. Neurogenic pulmonary edema. Neurol Clin 1993;11:309-323.

  9. Darragh TM, Simon RP. Nucleus tractus solitarius lesions elevate pulmonary arterial pressure and lymph flow. Ann Neurol 1985;17:565-569.

  10. Dauber IM, Weil JV. Lung injury edema in dogs. Influence of sympathetic ablation. J Clin Invest 1983;72:1977-1986.

  11. Guyenet PG. The sympathetic control of the blood pressure. Nat Rev Neurosci 2006;7:335-346.

  12. Cope DK, Grimbert F, Downey JM, Taylor AE. Pulmonary capillary pressure: a review. Crit Care Med 1992;20:1043-1056.

  13. Takala J. Pulmonary capillary pressure. Intensive Care Med 2003;29:890-893.

  14. Gaar KA, Taylor AE, Owens LJ, Guyton AC. Effect of capillary pressure and plasma protein on development of pulmonary edema. Am J Physiol 1967;213:79-82.

  15. Hachenberg T, Rettig R. Stress Failure of the blood-gas barrier. Current Opin Anaesthesiol 1998;11:37-44.

  16. Maron MB, Dawson CA. Pulmonary venoconstriction caused by elevated cerebrospinal fluid pressure in the dog. J Appl Physiol 1980;49:73-78.

  17. Smith WS, Matthay MA. Evidence for a hydrostatic mechanism in human neurogenic pulmonary edema. Chest 1997;111:1326-1333.

  18. Deehan SC, Grant IS. Haemodynamic changes in neurogenic pulmonary edema: effect of dobutamina. Intensive Care Med 1996;22:672-676.

  19. Samuels MA. Neurogenic heart disease: an unifying hypothesis. Am J Cardiol 1987;60:15-19.

  20. Bahloul M, Chaari AN, Kallel H, Khabir A, Ayadi A. Neurogenic pulmonary edema due to traumatic brain injury: Evidence of cardiac dysfunction. Am J Crit Care 2006;15:462-470.

  21. Mayer SA, Fink ME, Homma S. Cardiac injury associated with neurogenic pulmonary edema following subarachnoid hemorrhage. Neurology 1994;44:815-820.

  22. Hamdy O, Nishiwaki K, Yajima M. Presence and quantification of neuropeptide Y in pulmonary edema fluids in rats. Exp Lung Res 2000;26:137-147.

  23. Hirabayashi A, Nishiwaki K, Shimada Y, Ishikawa N. Role of neuropeptide Y and its receptor subtypes in neurogenic pulmonary edema. Eur J Pharmacol 1996;296:297-305.

  24. Poulat P, Couture R. Increased pulmonary vascular permeability and edema induced by intrathecally injected endothelins in rat. Eur J Pharmacol 1998;344:251-259.

  25. Norris JG, Benveniste EN. Interleukin-6 production by astrocytes: induction by the neurotransmitter norepinephrine. J Neuroimmunol 1993;45:137-145.

  26. Skrabal CA, Thompson LO, Potapov EV. Organ-specific regulation of pro-inflammatory molecules in heart, lung and kidney following brain death. J Surg Res 2005;123:118-125.

  27. Subauste MC, Choi DC, Proud D. Transient exposure of human bronchial epithelial cells to cytokines leads to persistent increased expression ICAM-1. Inflammation 2001;25:373-380.

  28. Sun SS, Hsieh JF, Tsat SC, Ho YJ, Kao CH. Transiet increase in alveolar epithelial permeability induced by volatile anesthesia with isoflurane. Lung 2000;178:129-135.

  29. Changlai SP, Hung WT, Liao KK. Detecting alveolar epithelial injury following volatile anesthetics by TcDPTA radioaerosol inhalation lung scan. Respiration 1999;66:506-510.

  30. Shayevitz JR, Johnson KJ, Knight PR. Halothane-oxidant interactions in the ex vivo perfused rabbit lung: Fluid conductance and eicosanoid production. Anesthesiology 1993;79:129-138.

  31. Rezaiguia-Delclaux S, Tayr C, Luo DF, Saidi NE. Halothane and isoflurane decrease alveolar eptithelial fluid clearance in rats. Anesthesiology 1998;88:751-760.

  32. Kandatsu N, Nan SY, Feng GG, Nishiwaki K, Hirokawa M. Opposing effects of Isoflurane and sevoflurane on neurogenic pulmonary edema development in an animal model. Anesthesiology 2005;102:1182-1189.

  33. Dvorak HF, Detmar M, Claffey KP, Nagy JA. Vascular permeability factor/vascular endothelial growth factor: An important mediator of angiogenesis in malignancy and inflammation. Int Arch Allergy Immunol 1995;107:233-235.

  34. Leal Filho MB, Morandin RC, de Almeida AR. Importance of anesthesia for the gênesis of neurogenic pulmonary edema in spinal cord injury. Neurosci Lett 2005;373:165-170.

  35. Fontes RB, Aguiar PH, Zanetti MV, Andrade F, Mendel M, Texeira MJ. Acute neurogenic pulmonary edema: case reports and literature review. J Neurosurg Anesthesiol 2003;15:144-150.

  36. Simon RP. Neurogenic pulmonary edema. Neurol Clin 1993;11:309-323.

  37. Colice GL, Matthay MA, Bass E, Matthay RA. Neurogenic pulmonary edema. Am Rev Respir Dis 1984;130:941-948.

  38. McGuire G, Crossley D, Richards J, Wong D. Effects of varing levels of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Crit Care Med 1997;25:1059-1062.

  39. Videtta W, Villarejo F, Cohen M. Effects of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Acta Neurochir Suppl 2002;81:93-97.

  40. Nekludov M, Bellander BM, Mure M. Oxygenation and cerebral perfusion pressure improved in the prone position. Acta Anesthesiol Scand 2006;50:932-936.

  41. Fletcher SJ, Atkinson JD. Use of prone ventilation in neurogenic pulmonary edema. Br J Anaesth 2003;90:238-240.

  42. Baumann A, Audibert G, McDonnell J, Mertes P. Neurogenic pulmonary edema. Acta Anaesthesiol Scand 2007; 51:447-455.




2020     |     www.medigraphic.com