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Anesth Analg 1977; 56:136-139
© 1977 International Anesthesia Research Society
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Acute Pulmonary Edema Following Head Injury

Two Case Reports

HARRY B. COHEN, MD*, ALICE F. GAMBILL, MD{dagger}, and G. W. N. EGGERS, JR, MD{ddagger}

* Resident Physician., Department of Anesthesiology, University of Missouri Medical Center, Columbia, Missouri 65201. {dagger} Assistant Professor., Department of Anesthesiology, University of Missouri Medical Center, Columbia, Missouri 65201. {ddagger}Professor and Chairman., Department of Anesthesiology, University of Missouri Medical Center, Columbia, Missouri 65201.

Abstract

An acute episode of pulmonary edema may occur in association with head injury. This is due to the elevation of systemic blood pressure, to maintain cerebral circulation in the presence of increasing intracranial pressure (ICP). In these instances, the pulmonary edema arises as a path physiologic, neurohemodynamic response to the intracranial disease. This response has been produced experimentally, and 2 case reports describe this problem clinically. If such patients with increased ICP could be treated immediately with antihypertensive drugs, pulmonary edema might be prevented and the high mortality rate decreased.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.