Transpulmonary thermodilution-based management of neurogenic pulmonary edema after subarachnoid hemorrhage

Tatsushi Mutoh, Ken Kazumata, Tomoko Ueyama-Mutoh, Yasuyuki Taki, Tatsuya Ishikawa

Research output: Contribution to journalReview articlepeer-review

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)415-419
Number of pages5
JournalAmerican Journal of the Medical Sciences
Volume350
Issue number5
DOIs
Publication statusPublished - 2015

Keywords

  • Hemodynamic monitoring
  • Neurogenic pulmonary edema
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

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