Acute Intraoperative Neurogenic Pulmonary Edema During Endoscopic Ventriculoperitoneal Shunt Revision
We present an incident of fulminant intraoperative neurogenic pulmonary edema in a 21-yr-old man undergoing an endoscopic ventriculoperitoneal shunt revision. His intraoperative course was complicated by intracranial bleeding requiring vigorous saline irrigation, which was accompanied by an acute in...
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| Veröffentlicht in: | Anesthesia and analgesia 2010-02, Vol.110 (2), p.594-595 |
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| container_title | Anesthesia and analgesia |
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| creator | Davidyuk, Galina Soriano, Sulpicio G. Goumnerova, Liliana Mizrahi-Arnaud, Arielle |
| description | We present an incident of fulminant intraoperative neurogenic pulmonary edema in a 21-yr-old man undergoing an endoscopic ventriculoperitoneal shunt revision. His intraoperative course was complicated by intracranial bleeding requiring vigorous saline irrigation, which was accompanied by an acute increase in heart rate and arterial blood pressure. Shortly thereafter, the patient developed pulmonary edema and was promptly treated with resolution of pulmonary symptoms within 24 h. This report addresses the importance of recognition of neurogenic pulmonary edema as a possible intraoperative complication resulting from an increase in intracranial pressure due to hemorrhage and intraventricular irrigation during endoscopic ventriculoperitoneal shunt revision. |
| doi_str_mv | 10.1213/ANE.0b013e3181c76fe9 |
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His intraoperative course was complicated by intracranial bleeding requiring vigorous saline irrigation, which was accompanied by an acute increase in heart rate and arterial blood pressure. Shortly thereafter, the patient developed pulmonary edema and was promptly treated with resolution of pulmonary symptoms within 24 h. This report addresses the importance of recognition of neurogenic pulmonary edema as a possible intraoperative complication resulting from an increase in intracranial pressure due to hemorrhage and intraventricular irrigation during endoscopic ventriculoperitoneal shunt revision.</description><subject>Acute Disease</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Endoscopy</topic><topic>Equipment Failure</topic><topic>Humans</topic><topic>Hydrocephalus - surgery</topic><topic>Intracranial Hemorrhages - etiology</topic><topic>Intracranial Hypertension - etiology</topic><topic>Intraoperative Complications - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pulmonary Edema - etiology</topic><topic>Pulmonary Edema - therapy</topic><topic>Reoperation</topic><topic>Ventriculoperitoneal Shunt - adverse effects</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davidyuk, Galina</creatorcontrib><creatorcontrib>Soriano, Sulpicio G.</creatorcontrib><creatorcontrib>Goumnerova, Liliana</creatorcontrib><creatorcontrib>Mizrahi-Arnaud, Arielle</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davidyuk, Galina</au><au>Soriano, Sulpicio G.</au><au>Goumnerova, Liliana</au><au>Mizrahi-Arnaud, Arielle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Intraoperative Neurogenic Pulmonary Edema During Endoscopic Ventriculoperitoneal Shunt Revision</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>110</volume><issue>2</issue><spage>594</spage><epage>595</epage><pages>594-595</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><coden>AACRAT</coden><abstract>We present an incident of fulminant intraoperative neurogenic pulmonary edema in a 21-yr-old man undergoing an endoscopic ventriculoperitoneal shunt revision. His intraoperative course was complicated by intracranial bleeding requiring vigorous saline irrigation, which was accompanied by an acute increase in heart rate and arterial blood pressure. Shortly thereafter, the patient developed pulmonary edema and was promptly treated with resolution of pulmonary symptoms within 24 h. This report addresses the importance of recognition of neurogenic pulmonary edema as a possible intraoperative complication resulting from an increase in intracranial pressure due to hemorrhage and intraventricular irrigation during endoscopic ventriculoperitoneal shunt revision.</abstract><cop>Hagerstown, MD</cop><pub>International Anesthesia Research Society</pub><pmid>20081139</pmid><doi>10.1213/ANE.0b013e3181c76fe9</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Anesthesia and analgesia, 2010-02, Vol.110 (2), p.594-595 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals |
| subjects | Acute Disease Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Endoscopy Equipment Failure Humans Hydrocephalus - surgery Intracranial Hemorrhages - etiology Intracranial Hypertension - etiology Intraoperative Complications - therapy Male Medical sciences Pulmonary Edema - etiology Pulmonary Edema - therapy Reoperation Ventriculoperitoneal Shunt - adverse effects Young Adult |
| title | Acute Intraoperative Neurogenic Pulmonary Edema During Endoscopic Ventriculoperitoneal Shunt Revision |
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