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Neurogenic Pulmonary Edema

  • M. S. Albin
Conference paper
  • 65 Downloads
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 1)

Abstract

The pioneering work of Starling (1896) described the factors determining the transmural filtration of fluid and these physical forces are called Starling forces and the equation may be presented as:
$$Q = K(Pc - Pt) - \sigma (\pi c - \pi t)$$
where Q is the filtration rate across the capillary membrane, K is the capillary filtration coefficient, and a is the reflection coefficient. Pc, Pt, πc and πt are the capillary hydrostatic, interstitial hydrostatic, capillary oncotic and interstitial oncotic pressures respectively.

Keywords

Pulmonary Edema Intracranial Pressure Left Atrial Pressure Plasma Protein Concentration Neurogenic Pulmonary Edema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Staub NC (1974) Pulmonary Edema. Physiol Rev 54: 678PubMedCrossRefGoogle Scholar
  2. Albin MS, Bunegin L, Helsel P, et al (1979) Intracranial pressure and cardiovascular responses to experimental cord transection. Crit Care Med 7: 127CrossRefGoogle Scholar
  3. Albin MS, Bunegin L, Wolfe S et al (1980) Phentolamine does not attenuate the intracranial pressure ( ICP) rise after experimental spinal cord transection. Proc FASEB 39Google Scholar
  4. Albin MS, Bunegin L, Wolf S (1985) Brain and lungs at risk after cervical cord transection: Intracranial pressure, brain water, blood brain barrier permeability, cerebral blood flow and extravasccular lung water changes. Surg Neurol 24: 191–205Google Scholar
  5. Bean JW, Beckman DL (1969) Centrogenic pulmonary pathology in mechanical head injury. J Appl Physiol 27: 807–812PubMedGoogle Scholar
  6. Bhargava KP, Kulsreshtha JK (1960) Pharmacological analysis of the spinal compression vasomotor response. Arch Int Pharmacodyn 127: 67–84Google Scholar
  7. Bhargava KP, Kulsreshtha JK (1959) The spinal compression vasomotor response as a pharmacological tool. Arch Int Pharmacodyn 120: 85–96PubMedGoogle Scholar
  8. Blessing WW, West MJ, Chalmers J (1981) Hypertension, bradycardia and pulmonary edema in the conscious rabbit after brainstem lesions coinciding with the Al group of catecholamine neurons. Circ Res 49: 949–958PubMedCrossRefGoogle Scholar
  9. Bowers RE, Ellis E, Brigham KL, Oates Ja (1979) Effects of prostglandin cyclic endoperoxides on the lung circulation of unanesthetized sheep. J Clin Invest 63: 131–137PubMedCrossRefGoogle Scholar
  10. Brigham KL, Owen PJ (1975) Increased sheep lung vascular permeability caused by histamine. Circ Res 37: 647–657PubMedCrossRefGoogle Scholar
  11. Brigham KL, Owen PJ (1975) Mechanism of the serotonin effect on lung transvascular fluid and protein movement in awake sheep. Circ Res 36: 761–769PubMedCrossRefGoogle Scholar
  12. Brisman R, Kovach RM, Johnson DO, et al (1974) Pulmonary edema in acute transection of the cervical spinal cord. Surg Gynecol Obstet 139: 363–366PubMedGoogle Scholar
  13. Brown FK (1956) Cardiovascular effects of acutely raised intracranial pressure. Am J Physiol 185: 510–514PubMedGoogle Scholar
  14. Campbell GS, Hoddy FJ, Adams WL, Visscher MB (1949) Circulatory changes and pulmonary lesions in dogs following increased intracranial pressure and the effect of atropine upon such changes. Amer J Physiol 158: 96–102PubMedGoogle Scholar
  15. Chen HI, Liao JF, Kuo L, et al (1980) Centrogenic pulmonary hemorrhagic edema induced by cerebral compression in rats. Mechanism of volume and pressure loading in the pulmonary circulation. Circ Res 47: 366–373Google Scholar
  16. Ciongoli AK, Poser CM (1972) Pulmonary edema secondary to subarachnoid hemmorrhage. Neurology 22: 867–870PubMedCrossRefGoogle Scholar
  17. Cushing H (1901) Concerning a definite regulatory mechanism of the vasomotor center which controls blood pressure during cerebral compression. Johns Hopk. Hosp Bull 12: 290–292Google Scholar
  18. Doba N, Reis DS (1973) Acute fulminating neurogenic hypertension produced by brainstem lesions in the rat. Circ Res 32: 584–593PubMedCrossRefGoogle Scholar
  19. Ducker TB (1968) Increased intracranial pressure and pulmonary edema. Clinical study of 11 patients. Part I. J Neurosurg 28: 112–117PubMedCrossRefGoogle Scholar
  20. Ducker TB, Simmons RL (1968) Increased intracranial pressure and pulmonary edema. Part 2: The hemodynamic response of dogs and monkeys to increased intracranial pressure. J Neurosurg 28: 118–122Google Scholar
  21. Felman AH (1971) Neurogenic pulmmonary edema, observations in 6 patients. Am. J. Roentgenol. Radium Ther. Nucl. Med. 1971, 112: 393–405.Google Scholar
  22. Freeman NE, Jeffers WA (1940) Effect of progressive sympathectomy on hypertension produced by increased intracranial pressure. Am J Physiol 123: 662–671Google Scholar
  23. Gamble JE, Patton JD (1953) Pulmonary edema and hemorrhage from preoptic lesions in rats. Am J Physiol 172: 623–631PubMedGoogle Scholar
  24. Graf CJ, Rossi NP (1975) Pulmonary edema and the central nervous system–a clinico-pathological study. Surg Neurol 4: 319–325PubMedGoogle Scholar
  25. Guyton AC, Lindsay AW (1959) Effect of elevated left atrial pressure and decreased plasma protein concentation on the development of pulmonary edema. Circ Res 12: 649–657CrossRefGoogle Scholar
  26. Hoff JT, Rees DJ (1970) Localizations of regions mediating the Cushing response in CNS of cat. Arch Neurol 23: 228–240PubMedCrossRefGoogle Scholar
  27. Jacob HS (1983) Complement-mediated leucoembolization: A mechanism of tissue damage during extracorporeal perfusions, myocardial infarction and in shock–A Review. Quart J Med 207: 289–296Google Scholar
  28. Jacobs ER, Bone RC (1983) Mediators of septic lung injury. In: Medical Clinics of North America 67: 701–715Google Scholar
  29. Maire FW, Patton HD (1956) Neural structures involved in the genesis of `preoptic pulmonary edema’ gastic erosions and behavior changes. Am J Physiol 184: 345–350PubMedGoogle Scholar
  30. Malik AB (1977) Pulmonary vascular response to increase in intracranial pressure: role of sympathetic mechanisms. J Appl Physiol 42: 335–343PubMedGoogle Scholar
  31. Moss G, Staunton C, Stein AA (1972) Cerebral etiology of the “shock lung syndrome.” J Trauma 12: 885–890PubMedGoogle Scholar
  32. Nathan MA, Reis DJ (1975) Fulminating arterial hypertension with pulmonary edema from release of adrenomedullary catecholamines after lessions of the anterior hypothalamics in the rat. Circ Res 37: 226–235PubMedCrossRefGoogle Scholar
  33. Parker JC, Martin DJ, Rutilid G, et al (1983) Prevention of free radical mediated vascular permeability increases in lung using superoxide dismutase. Chest 5 Suppl: 528–538Google Scholar
  34. Poe RH, Reisman JL, Rodenhouse TG (1978) Pulmonary edema in cervical cord injury. J Trauma 18: 71–73PubMedCrossRefGoogle Scholar
  35. Reynolds RW (1963) Pulmonary edema as a consequence of hypothalamic lesions in rats. Science 141: 930–932PubMedCrossRefGoogle Scholar
  36. Sarnoff SJ, Sarnoff LC (1952) Neurohemodynamics of pulmonary edema. The role of sympathetic pathways in the elevation of pulmonary and systemic vascular pressures following the intracisternal injection of fibrin. Circulation 6: 51–61Google Scholar
  37. Theodore J, Robin ED (1976) Editorial-Speculations on Neurogenic Pulmonary Edema ( NPE ). Am Rev Respir Dis 113: 405–411Google Scholar
  38. Van der Zee H, Malik AB, Lee BC, Hakim TS (1980) Lung fluid and protein exchange during intracranial hypertension and role of sympathetic mechanism. J Appl Physiol 48: 273–280PubMedGoogle Scholar
  39. Weisman SJ (1939) Edema and congestion of the lungs resulting from intracranial hemorrhage. Surgery 6: 722–729Google Scholar
  40. Wolman L (1965) The disturbance of circulation in traumatic paraplegia in acute and late stages: A pathological study. Paraplegia 2: 213–226PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

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  • M. S. Albin

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