title: Adult respiratory distress syndrome after attempted strangulation.
abstract: We describe a case of severe acute lung injury after attempted strangulation. The patient presented initially with cerebral irritability and florid, noncardiogenic pulmonary oedema which were followed by a prolonged period of the adult respiratory distress syndrome, severe sepsis and multiple system organ failure, although the patient eventually survived. The pulmonary injury following strangulation is proposed to be a result of the generation of marked subatmospheric pressures within the lungs during vigorous inspiration against an obstructed airway, although the processes involved in the so-called neurogenic pulmonary oedema are difficult to exclude.
authors.affiliation: Department of Anaesthesia, General Infirmary, Leeds.
authors.forename: P G
authors.initials: PG
authors.lastname: Murphy
authors.forename: R
authors.initials: R
authors.lastname: Jackson
authors.forename: R
authors.initials: R
authors.lastname: Kirollos
authors.forename: J S
authors.initials: JS
authors.lastname: Gibson
authors.forename: P
authors.initials: P
authors.lastname: Chennells
mesh_terms: D000328:Adult; D001237:Asphyxia / Q000150:complications*; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D009102:Multiple Organ Failure / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000473:pathology