Fulminant pulmonary edema after near-drowning: remarkably high colloid osmotic pressure in tracheal fluid.
A 44-year-old man developed severe permeability pulmonary edema associated with septic shock after near-drowning. Colloid osmotic pressure (COP) of deep tracheal fluid was persistently higher than plasma COP. Tracheal/plasma COP ratio reached a peak value of 1.75. A massive colloid infusion of 5% protein solution was incriminated in the development of this markedly elevated COP in the tracheal fluid.
D000328:Adult; D002199:Capillary Permeability; D003102:Colloids; D004332:Drowning; D005122:Exudates and Transudates / Q000502:physiology*; D006801:Humans; D008297:Male; D009997:Osmotic Pressure; D011654:Pulmonary Edema / Q000097:blood / Q000209:etiology / Q000503:physiopathology*; D012131:Respiratory Insufficiency / Q000209:etiology; D012151:Resuscitation; D012772:Shock, Septic / Q000209:etiology; D014132:Trachea / Q000378:metabolism*
D003102:Colloids