title: [Pulmonary edema caused by heroin. Hemodynamic study of 2 cases].
abstract: The authors report two cases of heroin induced pulmonary edema. In both cases the severity of respiratory failure, attested by a deep hypoxemia (paO2 28 and 32 mmHg) and a metabolic and respiratory acidosis (pH 7.07 and 7.14) imposed an artificial ventilation with positive end expiratory pressure (PEEP). Hemodynamic study revealed a noncardiogenic edema. In both cases, a cardiac insufficiency was also present : in the first case it's etiology remained unclear, in the second it was a complication of hyperkalemia.
mesh_terms: D000138:Acidosis / Q000139:chemically induced; D000328:Adult; D006439:Hemodynamics / Q000187:drug effects*; D003932:Heroin / Q000506:poisoning*; D006801:Humans; D008297:Male; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000503:physiopathology; D013997:Time Factors
chemical_list: D003932:Heroin
vernacular_title: Les oedoèmes pulmonaires dus à l'héroïne. Etude hémodynamique de 2 observations.