Noncardiogenic pulmonary edema following accidental near-hanging.
A 79 year-old woman was admitted to our institution unconscious with pulmonary edema. She had been trapped by the neck in the electric sliding gate of her own home garage. A pulmonary artery catheter was inserted through the right internal jugular vein and her hemodynamic profile and chest x ray revealed a non cardiogenic pulmonary edema. Intensive care management consisted of assisted/controlled ventilatory support with low grade of PEEP (6 cm H2O) and loop diuretics. Three days later, the chest x-ray showed resolution of the pulmonary edema and she made a full recovery. Near-hanging due to neck compression can be a life-threatening cause of non-cardiogenic pulmonary edema, and should be included in the differential diagnosis of pulmonary edema.
Trujillo
Maximo H
MH
Critical Care Unit of The Instituto Medico La Floresta, Caracas, DC, Venezuela.
Fragachan
Carlos F
CF
Tortoledo
Francisco
F
D000061:Accidents, Home; D000368:Aged; D000402:Airway Obstruction / Q000150:complications*; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D049994:Sodium Potassium Chloride Symporter Inhibitors / Q000627:therapeutic use
D049994:Sodium Potassium Chloride Symporter Inhibitors