Pulmonary Edema of Environmental Origin
- 1 August 1973
- journal article
- Published by Elsevier BV in Chest
- Vol. 64 (2), 182-185
- https://doi.org/10.1378/chest.64.2.182
Abstract
Fifty-five patients with chemical intoxication evoking pulmonary edema were seen in the past several years. In addition, environmental pulmonary edema from heroin intoxication, edema associated with cerebral trauma and that due to post-traumatic pulmonary insufficiency were also encountered. Most patients recovered. Treatment included inhalational therapy utilizing 40-60 percent oxygen with intermittent positive pressure breathing, endotracheal intubation or tracheostomy in the most severe problems. Digitalis and diuretics may be beneficial in a limited number of patients. Corticosteroids and hexamethylentetramine are effective in specific types of intoxications. Morphine sulfate and other narcotic agents are to be avoided in those patients with respiratory depression due to hydrogen sulfide, hydrogen cyanide, ozone, carbon monoxide and heroin intoxication. As previously mentioned, assisted or controlled ventilation may be of considerable benefit in the latter problem. Most of these patients should be treated in intensive care units and appropriate monitoring of the cardiopulmonary system should be implemented, since the majority of these patients are acutely ill.This publication has 9 references indexed in Scilit:
- Pulmonary EdemaCirculation, 1972
- Therapy and management of paroxysmal pulmonary edemaClinical Pharmacology & Therapeutics, 1964
- Effects of Surface-Active Aerosols and Pulmonary Congestion on Lung Compliance and ResistanceCell Metabolism, 1963
- Pulmonary Edema as a Consequence of Hypothalamic Lesions in RatsScience, 1963
- Physiological Significance of Lymph Drainage of the Serous Cavities and LungsPhysiological Reviews, 1954
- Pulmonary Edema in Acute Opium IntoxicationNew England Journal of Medicine, 1953
- Acute pulmonary edema in pregnancyAmerican Journal of Obstetrics and Gynecology, 1953
- Inhalation of Ethyl Alcohol for Pulmonary EdemaNew England Journal of Medicine, 1951
- Therapy of Paroxysmal Pulmonary Edema by Antifoaming AgentsCell Metabolism, 1950