Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T10:23:33.715Z Has data issue: false hasContentIssue false

Neurogenic Pulmonary Edema in Monkeys with Global Brain Ischemia (GBI)

Published online by Cambridge University Press:  28 June 2012

Sven E. Gisvold
Affiliation:
From the Resuscitation Research Center and the Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, Pittsburgh PA 15260, USA.
Peter Safar
Affiliation:
From the Resuscitation Research Center and the Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, Pittsburgh PA 15260, USA.
Achiel Bleyaert
Affiliation:
From the Resuscitation Research Center and the Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, Pittsburgh PA 15260, USA.
David Mego
Affiliation:
From the Resuscitation Research Center and the Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, Pittsburgh PA 15260, USA.

Extract

Ischemic and traumatic brain insults may be followed by pulmonary failure, which is a frequent cause of death in cases of multi-trauma, cardiac arrest and stroke. Pulmonary edema (PE) can occur secondary to events in the central venous nervous system (CNS). This is generally termed neurogenic pulmonary edema (NPE). It is not known which of the following 4 factors of the modified Starling equation of pulmonary edema development are involved in the development of NPE: a) filtration coefficient, that is, increased membrane permeability; b) abnormal hydrostatic pressure gradient; c) abnormal oncotic pressure gradient; and d) blockage or overwhelming of lymphatic drainage (Fig. 1).

Type
Part II: Clinical Care Topics
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Stub, NC. Pulmonary edema. Physiologic Reviews 1974;54:678.CrossRefGoogle Scholar
2. Ducker, TB. Increased intracranial pressure and pulmonary edema. Part I. Clinical study of 11 patients. J Neurosurg 1968;28:112.Google ScholarPubMed
3. Katsurada, K, Yamada, R, Sugimoto, T. Respiratory insufficiency in patients with severe head injury. Surgery 1973;73:191.Google ScholarPubMed
4. Simmons, RL, Martin, AM, Heisterkamp, CA et al. Respiratory insufficiency in combat casualties. II. Pulmonary edema following head injury. Ann Surg 1969;170:39.CrossRefGoogle ScholarPubMed
5. Pace, LN. Fluctuating hypoxemia and pulmonary shunting following fatal head trauma: A case report. Anest Analg 1977;56:129.CrossRefGoogle ScholarPubMed
6. Felman, AH. Neurogenic pulmonary edema. Observations in 6 patients. Am J Roentgenol Radium Ther Nucl Med 1971;112:393.CrossRefGoogle ScholarPubMed
7. Carlson, RW, Schaeffer, RC, Michaels, SG et al. Pulmonary edema following intracranial hemorrhage. Chest 1979;75:371.CrossRefGoogle ScholarPubMed
8. Wray, NP, Nicotra, MB. Pathogenesis of neurogenic pulmonary edema. Am Rev Resp Dis 1978;118:783.CrossRefGoogle ScholarPubMed
9. Bloom, S. Pulmonary edema following a grand mal epileptic seizure. Am Rev Resp Dis 1968;97:292.Google ScholarPubMed
10. Terrence, CF, Rao, CR, Perper, JA. Neurogenic pulmonary edema in unexpected, unexplained death of epileptic patients. Ann Neurol 1981;9:458.CrossRefGoogle ScholarPubMed
11. Cameron, CR. Pulmonary edema. Brit Med J 1948;1:965.CrossRefGoogle Scholar
12. Poe, RH, Reisman, JL, Rodenhouse, TG. Pulmonary edema in cervical spinal cord injury. J Trauma 1978;18:71.CrossRefGoogle ScholarPubMed
13. Bowers, RE, McKeen, CR, Park, BE et al. Increased pulmonary vascular permeability follows intracranial hypertension in sheep. Am Rev Resp Dis 1979;119:637.Google ScholarPubMed
14. Ducker, TB, Simmons, RL. Increased intracranial pressure and pulmonary edema. Part II. The hemodynamic response of dogsand monkeys to increased intracranial pressure. J Neurosurg 1968;28:118.CrossRefGoogle Scholar
15. Ducker, TB, Simmons, RL, Anderson, RW. Increased intracranial pressure and pulmonary edema. Part III. The effect of increasedintracranial pressure on the cardiovascular hemodynamics of chimpanzees. J Neurosurg 1968;29:475.CrossRefGoogle Scholar
16. Malik, AB. Pulmonary vascular response to increase in intracranial pressure: Role of sympathetic mechanisms. J Appl Physiol 1977;42:335.CrossRefGoogle ScholarPubMed
17. Reynolds, RW. Pulmonary edema as a consequence of hypothalamic lesions in rats. Science (New York) 1963;141:930.CrossRefGoogle ScholarPubMed
18. Moss, G, Staunton, C, Stein, AA. Cerebral etiology of the shock lung syndrome J Trauma 1972;12:885.CrossRefGoogle ScholarPubMed
19. Moss, G, Staunton, C, Stein, AA. The centrineurogenic etiology of the acute respiratory distress syndromes. Am J Surg 1973;126:37.CrossRefGoogle ScholarPubMed
20. Moss, G. Pulmonary effects of brain dysfunction in shock. Personal communication.Google Scholar
21. Theodore, J, Robin, ED. Speculations on neurogenic pulmonary edema. (Editorial) Am Rev Resp Dis 1976;113:405.Google Scholar
22. Hanson, EF, Miller, IT, Sheldon, CF et al. Pulmonary circulation: Effects of norepinephrine and hemorrhage in the human being. Surg Forum 1970;21:208.Google ScholarPubMed
23. Toung, T, Kimura, T, Cameron, JL et al. Neurogenic pulmonary edema: Effects of cathecholamine infusion on pulmonary circulation. (Abstract) In Proceedings of the Society of Neurosurgical Anesthesia and Neurologic Supportive Care Meeting, St. Louis, Missouri, October 1980.Google Scholar
24. Luisada, AA. Mechanism of neurogenic pulmonary edema. Am J Cardiol 1967;20:66.CrossRefGoogle ScholarPubMed
25. Overland, ES,Severinghaus, J. Noncardiac pulmonary edema. In Advances in Internal Medicine 1978;23:307.Google ScholarPubMed
26. Maxwell, JA, Goodwin, JW. Neurogenic pulmonary shunting. J Trauma 1973;13:368.CrossRefGoogle ScholarPubMed
27. Rave Moss, I, Wald, A, Ransohoff, J. Respiratory functions and chemical regulation of ventilation in head injury. Am Rev Resp Dis 1974;109:205.Google Scholar
28. Nemoto, EM, Bleyaert, AL, Stezoski, WS et al. Global brain ischemia: A reproducible monkey model. Stroke 1977;8:558.CrossRefGoogle ScholarPubMed
29. Gisvold, SE, Safar, P, Hendrickx, H et al. Controlled ventilation after global brain ischemia in monkeys. Anesthesiology October 1981, in press (Abstract).Google Scholar
30. Loughnan, PM, Brown, TCK, Edis, B et al. Neurogenic pulmonary edema in man: Etiology and management with vasodilators based on hemodynamic studies. Anaest Intensive Care 1980;8:65.CrossRefGoogle Scholar
31. Lourie, H, Lourie, GL, Kosematotos, N. Respiratory distress syndrome: A disease of the fetal brain and fetal lung. Neurosurgery 1980;7:469.CrossRefGoogle ScholarPubMed