title: Transpulmonary Thermodilution-Based Management of Neurogenic Pulmonary Edema After Subarachnoid Hemorrhage.
abstract: Neurogenic pulmonary edema (NPE) is a potentially catastrophic but treatable systemic event after subarachnoid hemorrhage (SAH). The development of NPE most frequently occurs immediately after SAH, and the severity is usually self-limiting. Despite extensive research efforts and a breadth of collective clinical experience, accurate diagnosis of NPE can be difficult, and effective hemodynamic treatment options are limited. Recently, a bedside transpulmonary thermodilution device has been introduced that traces physiological patterns consistent with current theories regarding the mechanism (hydrostatic or permeability PE) of NPE. This article provides an overview of the clinical usefulness of the advanced technique for use in the neurointensive care unit for the diagnosis and management of post-SAH NPE.
authors.affiliation: Department of Nuclear Medicine and Radiology, Institute of Development, Aging and Cancer, Tohoku University (TM, TU-M, YT), Sendai, Japan; Department of Surgical Neurology, Research Institute for Brain and Blood Vessels-AKITA, Akita, Japan (TM, TI); and Department of Neurosurgery (KK), Hokkaido University Graduate School of Medicine, Sapporo, Japan.
authors.forename: Tatsushi
authors.initials: T
authors.lastname: Mutoh
authors.forename: Ken
authors.initials: K
authors.lastname: Kazumata
authors.forename: Tomoko
authors.initials: T
authors.lastname: Ueyama-Mutoh
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Taki
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ishikawa
mesh_terms: D019468:Disease Management; D006439:Hemodynamics; D006801:Humans; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000150:complications*; D013815:Thermodilution / Q000379:methods*