Abstract
Pulmonary extravascular water has been measured as lung thermal volume (LTV) in a group of nine burned patients. Transducer-detectable indicators were used to permit frequent repetition and quick results. Concurrent recordings were made of cardiac output, pulmonary capillary wedge pressure and the usual hemodynamic variables. Moderate elevation of LTV was seen in all, reaching a maximum value before peripheral edema formation was complete. Left heart filling pressures were low as plasma albumin concentration. Clinical pulmonary edema occurred in one patient treated mostly with crystalloid solution. In several, a secondary peak coincided with edema mobilization.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allgöwer M., Städtler K., Schoenenberger G. A. Burn sepsis and burn toxin. Ann R Coll Surg Engl. 1974 Nov;55(5):226–235. [PMC free article] [PubMed] [Google Scholar]
- Anderson W. P., Dunegan L. J., Knight D. C., Fitzpatrick G. F., O'Connor N. E., Morgan A. P. Rapid estimation of pulmonary extravascular water with an instream catheter. J Appl Physiol. 1975 Nov;39(5):843–845. doi: 10.1152/jappl.1975.39.5.843. [DOI] [PubMed] [Google Scholar]
- CHINARD F. P., ENNS T., NOLAN M. F. Indicator-dilution studies with "diffusible" indicators. Circ Res. 1962 Mar;10:473–490. doi: 10.1161/01.res.10.3.473. [DOI] [PubMed] [Google Scholar]
- Fishman A. P. Pulmonary edema. The water-exchanging function of the lung. Circulation. 1972 Aug;46(2):390–408. doi: 10.1161/01.cir.46.2.390. [DOI] [PubMed] [Google Scholar]
- Foley F. D., Moncrief J. A., Mason A. D., Jr Pathology of the lung in fatally burned patints. Ann Surg. 1968 Feb;167(2):251–264. doi: 10.1097/00000658-196802000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gump F. E., Zikria B. A., Mashima Y. The effect of interstitial edema on pulmonary function in the dog. J Trauma. 1972 Sep;12(9):764–770. doi: 10.1097/00005373-197209000-00003. [DOI] [PubMed] [Google Scholar]
- Moore F. D. The body-weight burn budget. Basic fluid therapy for the early burn. Surg Clin North Am. 1970 Dec;50(6):1249–1265. doi: 10.1016/s0039-6109(16)39285-4. [DOI] [PubMed] [Google Scholar]
- Staub N. C. Pulmonary edema. Physiol Rev. 1974 Jul;54(3):678–811. doi: 10.1152/physrev.1974.54.3.678. [DOI] [PubMed] [Google Scholar]