Advantages of Resuscitation with Balanced Hypertonic Sodium Solution in Disasters

1985 ◽  
Vol 1 (S1) ◽  
pp. 179-180
Author(s):  
Joseph M. Civetta ◽  
Charles L. Fox
Keyword(s):  
Cardiac Function ◽  
Pulmonary Edema ◽  
Clinical Experience ◽  
Surgical Procedures ◽  
Early Onset ◽  
Sodium Acetate ◽  
Wound Care ◽  
Surgical Trauma ◽  
Ringer’S Lactate ◽  
Sodium Solution

Resuscitation in disasters must be effective, prompt, safe and uncomplicated. Clinical experience in severe, extensive thermal burns in numerous clinics has shown that balanced hypertonic sodium solution (BHSS) can achieve effective resuscitation with: administration of less volume of fluid; early onset of excretion of sodium-containing urine; less generalized edema and without pulmonary edema. This experience is now being transferred to patients after trauma and major surgical procedures often complicated by peritonitis. In an ongoing study of randomly selected adults following surgical trauma, either Ringer's lactate (RL) or the BHSS (0.9% NaCl plus 100ml of one molar sodium acetate, total 1100ml yielding Na230, Cl 140, acetate 90mEq/l) was administered. All patients received daily (or more frequent) electrolyte and osmotic analyses of plasma and urine, continuous ICU monitoring of pulmonary and cardiac function, and similar wound care.

scholarly journals Pulmonary Edema and Cardiac Dysfunction Following Subarachnoid Hemorrhage

2005 ◽  
Vol 32 (2) ◽  
pp. 178-185 ◽  
Author(s):  
Nancy McLaughlin ◽  
Michel W. Bojanowski ◽  
François Girard ◽  
André Denault
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cardiac Function ◽  
Pulmonary Edema ◽  
Cardiac Dysfunction ◽  
Early Onset ◽  
Chart Review ◽  
Cardiac Involvement ◽  
Ventricular Dysfunction ◽  
Retrospective Chart Review ◽  
Late Period

ABSTRACT:Background:Pulmonary edema (PE) can occur in the early or late period following subarachnoid hemorrhage (SAH). The incidence of each type of PE is unknown and the association with ventricular dysfunction, both systolic and diastolic, has not been described.Methods:Retrospective chart review of 178 consecutive patients with SAH surgically treated over a three-year period. Patients with pulmonary edema diagnosed by a radiologist were included. Early onset SAH was defined as occurring within 12 hours. Cardiac function at the time of the PE was analyzed using hemodynamic and echocardiographic criteria of systolic and diastolic dysfunction. Pulmonary edema was observed in 42 patients (28.8%) and was more often delayed (89.4%). Evidence of cardiac involvement during PE varied between 40 to 100%.Results and conclusions:Pulmonary edema occurs in 28.8% of patients after SAH, and is most commonly delayed. Cardiac dysfunction, both systolic and diastolic, is commonly observed during SAH and could contribute to the genesis of PE after SAH.

Early-Onset Preeclampsia with Pulmonary Edema and Massive Ascites: A Rare Presentation of Severe Preeclampsia or Concomitant Diagnoses?

2020 ◽  
Vol 2020 ◽  
Author(s):  
Elizabeth St. Laurent ◽  
Rebecca Fryer-Gordon ◽  
Tom McNeilis, ◽  
Leonard B. Goldstein
Keyword(s):  
Pulmonary Edema ◽  
Early Onset ◽  
Hellp Syndrome ◽  
Disease Process ◽  
Massive Ascites ◽  
Elevated Liver Enzymes ◽  
Biophysical Profile ◽  
Patient Reported ◽  
Early Onset Preeclampsia ◽  
New Onset

Preeclampsia, eclampsia, and HELLP syndrome, are a continuum of a dangerous disease process that can occur in pregnancy. Preeclampsia is defined by new onset hypertension and proteinuria. In more severe cases, preeclampsia can be associated with pulmonary edema, oliguria, persistent headaches, and impaired liver function. These symptoms reveal maternal end organ damage which may result in danger to the fetus such as oligohydramnios, decreased fetal growth, and placental abruption. The defining difference between preeclampsia and eclampsia is the presence of new onset seizure activity. HELLP syndrome occurs when the mother experiences hemolysis, elevated liver enzymes, and low platelets. This syndrome is seen in about 0.6% of pregnancies. Each of these conditions (preeclampsia, eclampsia, and HELLP) increase both the fetal and maternal morbidity and mortality rates with the most definitive cure being delivery of child and placenta.A 28 year-old Caucasian, G1P0 female at 26w4d presented to OB triage on the recommendation of her physician due to elevated uric acid levels and a recorded blood pressure of 180/110. The patient reported rapid onset of weight gain, facial edema, diminished fetal movements, and frequent headaches. Although the patient denied labor symptoms, she complained of back pain and was admitted to the hospital at 26w4d for observation due to elevated blood pressures. The patient was diagnosed with preeclampsia with severe features. As her presentation progressed, the patient developed massive ascites and pulmonary edema along with decreasing platelet counts and increasing liver enzyme values. Due to decreasing biophysical profile (BPP) scores of the fetus and decompensating lab values of the mother, an emergency cesarean was performed for the safety of mother and baby.This case presentation demonstrates the progression of hypertensive disorders of pregnancy with a rare and severe presentation of early-onset preeclampsia with severe features, pulmonary edema, and massive ascites that ultimately led to class III HELLP syndrome and extreme prematurity of the infant.

scholarly journals Concurrent Early-onset Peripartum Cardiomyopathy in a Preeclampsia Patient with Acute Pulmonary Edema

2015 ◽  
Vol 54 (8) ◽  
pp. 925-927 ◽  
Author(s):  
Erdal Belen ◽  
Fahri Fatih Tipi ◽  
Aysen Helvaci ◽  
Akif Bayyigit
Keyword(s):  
Pulmonary Edema ◽  
Early Onset ◽  
Peripartum Cardiomyopathy ◽  
Acute Pulmonary Edema

scholarly journals Clinical Experience of Ulnar Nerve Entrapment Neuropathy from 32 Surgical Procedures

2003 ◽  
Vol 17 (3) ◽  
pp. 233-238
Author(s):  
Masahiro Kawanishi ◽  
Iwao Nishiura ◽  
Akira Morimoto ◽  
Hajime Handa
Keyword(s):  
Ulnar Nerve ◽  
Clinical Experience ◽  
Surgical Procedures ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Ulnar Nerve Entrapment

OC12.01: Cardiac function in early onset small for gestational age and growth restricted fetuses

2013 ◽  
Vol 42 (s1) ◽  
pp. 22-22
Author(s):  
W.A. Hassan ◽  
J. Brockelsby ◽  
M. Alberry ◽  
T. Fanelli ◽  
J.W. Wladimiroff ◽  
...  
Keyword(s):  
Cardiac Function ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Early Onset ◽  
Age And Growth

scholarly journals CLINICAL EXPERIENCE WITH BUFFERED RINGER'S LACTATE SOLUTION FOR TOTAL PRIME OF THE DISC OXYGENATOR DURING CARDIOPULMONARY BYPASS

1964 ◽  
Vol 48 (1) ◽  
pp. 101-111 ◽  
Author(s):  
William E. Neville ◽  
Angelo Spinazzola ◽  
Fedor Banuchi ◽  
Leon P. Scicchitano ◽  
Howard Peacock
Keyword(s):  
Cardiopulmonary Bypass ◽  
Clinical Experience ◽  
Ringer’S Lactate ◽  
Lactate Solution

Procurement of Autogenous Bone from the Mandibular Ramus with Simultaneous Third-Molar Removal for Bone Grafting Using the Er, Cr:YSGG Laser: A Preliminary Report

2005 ◽  
Vol 31 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Cameron Y. S. Lee
Keyword(s):  
Clinical Experience ◽  
Surgical Procedures ◽  
Bone Grafting ◽  
Preliminary Report ◽  
Third Molar ◽  
Daily Basis ◽  
Autogenous Bone ◽  
Third Molars ◽  
Mandibular Ramus ◽  
Autogenous Bone Grafting

Abstract Autogenous bone grafting and third-molar removal are surgical procedures routinely performed in dentistry on a daily basis. The purpose of this preliminary report is to describe our clinical experience with the Er, Cr:YSGG laser in the procurement of bone harvested from the ramus and removal of third molars simultaneously from the mandible.

The spectrum of acute cardiopulmonary events associated with multiple sclerosis exacerbations

2019 ◽  
Vol 25 (6) ◽  
pp. 758-765 ◽  
Author(s):  
Cristina Valencia-Sanchez ◽  
Brent P Goodman ◽  
Jonathan L Carter ◽  
Dean M Wingerchuk
Keyword(s):  
Multiple Sclerosis ◽  
Nervous System ◽  
Cardiac Function ◽  
Pulmonary Edema ◽  
Myocardial Dysfunction ◽  
Case Reports ◽  
Systemic Blood Pressure ◽  
Stunned Myocardium ◽  
Neurogenic Pulmonary Edema ◽  
Demyelinating Lesions

Diverse acute neurological injuries may cause acute cardiopulmonary events including neurogenic pulmonary edema (NPE) and neurogenic stunned myocardium (NSM). The mechanism is probably mediated by sympathetic nervous system activation. Focal central nervous system (CNS) lesions, such as demyelinating lesions in multiple sclerosis (MS), may also cause cardiopulmonary disturbances. We aim to review the acute cardiopulmonary events associated with MS relapses. We performed a literature search using PubMed, and selected case reports of acute cardiac and/or pulmonary events related to MS exacerbations. We grouped these events into three categories: 1) NPE with normal cardiac function; 2) NSM and Takotsubo cardiomyopathy (TTC); 3) coexisting myocardial dysfunction and pulmonary edema. In some cases, cardiac and pulmonary symptoms preceded the onset of neurological symptoms. The majority of cases were associated with acute demyelinating lesions located in the medulla. Acute brainstem MS relapses, with demyelinating lesions affecting the medulla, may cause acute cardiac and pulmonary events presumably secondary to sympathetic hyperstimulation. Specific regions in the medulla that regulate cardiac function, systemic blood pressure and pulmonary hydrostatic pressure seem to be responsible for these events.

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