Update 1988 pp 609-616 | Cite as

Interpretation of Pulmonary Vascular Congestion

  • A. F. Turner
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 5)


The concepts of interpretation of a chest radiograph taken on a patient in the upright position and full inspiration are different from the concepts of interpretation of the supine chest radiograph of a critically ill or injured patient.


Pulmonary Edema Chest Radiograph Pulmonary Blood Flow Left Atrial Pressure Extravascular Lung Water 
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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  1. 1.
    Christensen EE, Dietz GW, Murry RC, et al (1977) Effects of kilovoltage on detectability of pulmonary nodules in a chest phantom A J R 128:789–793.Google Scholar
  2. 2.
    West JB (1979) Respiratory physiology, 2nd edn. The Williams and Wilkins Co., Baltimore.Google Scholar
  3. 3.
    Rehder K et al (1973) Function of each lung in spontaneously breathing man anesthetized with thiopental-meperidine. Anesthesiology 38:320–327.PubMedCrossRefGoogle Scholar
  4. 4.
    Rehder K et al (1972) The function of each lung of anesthetized and paralysed man during mechanical ventilation. Anesthesiology 37:16–26.PubMedCrossRefGoogle Scholar
  5. 5.
    Bindslev L et al (1981) Distribution of inspired gas to each lung in anesthetized human subjects. Acta Anaesthesiol Scand 25:297–302.PubMedCrossRefGoogle Scholar
  6. 6.
    Turner AF, Lau FYK, Jacobson G (1972) A method for the estimation of pulmonary venous and arterial pressures from the routine chest radiograph. A J R 116:97–106.Google Scholar
  7. 7.
    McHugh TJ, Forrester JS, Adler L, et al (1972) Pulmonary vascular congestion in acute myocardial infarction; hemodynamic and radiologic correlations. Ann Intern Med 76:29–33.PubMedGoogle Scholar
  8. 8.
    Slutsky RA, Olson LK, Costello D, Brown JJ (1984) Extravascular lung water in patients with mitral stenosis: relationship to pulmonary capillary wedge pressure and Kerley B lines. Radiology 153:317–320.PubMedGoogle Scholar
  9. 9.
    Aschoff L (1924) Lectures on pathology. Hoeber, New York 10 lung.Google Scholar
  10. 10.
    Felson B (1969) Disseminated interstitial diseases of the lung. In: Simon M, Potchen EJ, LeMay M (eds) Frontiers of Pulmonary Radiology. Grune & Stratton, Inc., New York.Google Scholar
  11. 11.
    Schuster DP, Mintun MA (1987) Pulmonary circulation, extravascular water, and solute flux as determined by positron emission tomography. Lymphology 20:25–35.PubMedGoogle Scholar
  12. 12.
    Guyton AC, Lindsey AW (1959) Effect of elevated left atrial pressure and decreased plasma protein concentration on the development of pulmonary edema. Circ Res 7:617–657.Google Scholar
  13. 13.
    Erdmann III AJ, Vaughn TR, Brigham KL, et al (1975) Effect of increased vascular pressure on lung fluid balance in unanesthetized sheep. Circ Res 37:271–284.PubMedGoogle Scholar
  14. 14.
    Rutilli G, Parker JC, Taylor AE (1984) Fluid balance in ANTU-injured lungs during crystalloid and colloid infusions. J Appl Physiol 56:993–998.CrossRefGoogle Scholar
  15. 15.
    Staub NC, Nagano H, Pearce ML (1967) Pulmonary edema in dogs, especially the sequence of fluid accumulation in the lungs. J Appl Physiol 22:227–240.PubMedGoogle Scholar
  16. 16.
    Gee MH, Havill AM (1985) The relationship between pulmonary perivascular cuff fluid and lung lymph in dogs with edema. Microvasc Res 19:209–216.CrossRefGoogle Scholar
  17. 17.
    Unruh HW, Goldberg HS, Oppenheimer L (1985) Pulmonary interstitial compartments and tissue resistance to fluid flux. J Appl Physiol 57:1512–1519.Google Scholar
  18. 18.
    Mayers I, Stimpson R, Oppenheimer L (1987) Delayed resolution of high-pressure pulmonary edema or capillary leak. Surgery 101:450–458.PubMedGoogle Scholar
  19. 19.
    Grover M, Slutsky RA, Higgins CB, Shabetai R (1983) Extravascular lung water in patients with congestive failure. Difference between patients with acute and chronic myocardial disease. Radiology 147:659–662.PubMedGoogle Scholar
  20. 20.
    Slutsky RA, Day R, Murray M (1985) Effect of prolonged renal dysfunction on intravascular and extravascular pulmonary fluid volumes during left atrial hypertension. Proc Soc Exp Biol Med 179:25–31.PubMedGoogle Scholar
  21. 21.
    Milne E (1986) Role of the radiologist in the intensive care unit. Lecture pulmonary medicine 1986 — Advances in internal medicine. Pasadena Hilton, Pasadena California.Google Scholar
  22. 22.
    Laggner A, Kleinberger G, Sommer G, et al (1985) Bestimmung des extravaskularen Lungenwassergehalts bei Intensivpatienten: Gegenüberstellung mit radiologischen, hämody-namischen und funktionellen Lungenbefunden. Schweiz Med Wochenschr 115:210–213.PubMedGoogle Scholar
  23. 23.
    Halperin BD, Feeley TW, Mihm FG, et al (1985) Evaluation of the portable chest roentgenograms for quantitating extravascular lung water in critically ill adults. Chest 88:649–652.PubMedCrossRefGoogle Scholar
  24. 24.
    Haller J, Czembirek H, Salomonowitz E, et al (1985) Die Thoraxbettaufnahme und extra-vaskulare Lungenwasserbestimmung bei Intensivpatienten. ROFO 142:68–73.PubMedCrossRefGoogle Scholar
  25. 25.
    Andreasson S, Bylock A, Smith L, Risberg B (1986) Extravascular lung water measurement in septic sheep. J Surg Res 40:95–104.PubMedCrossRefGoogle Scholar
  26. 26.
    Hill SL, Elings VB, Lewis FR (1980) Sepsis and the pulmonary capillary dependence of permeability changes on hydrostatic pressure and tissue after septic insult. Crit Care Med 8:225–231.CrossRefGoogle Scholar
  27. 27.
    Hill SL, Elings VB, Lewis FR (1980) Changes in lungwater and capillary permeability following sepsis and fluid overloads. J Surg Res 28:140–7.PubMedCrossRefGoogle Scholar
  28. 28.
    Holcroft JW, Trunkey DD, Carpenter MF (1978) Excessive fluid administration in resuscitating baboons from haemorrhagic shock, and an assessment of the thermo-dye technic for measuring extravascular lungwater. Ann Surg 135:412–419.CrossRefGoogle Scholar
  29. 29.
    Oppenheimer L, Elings VB, Lewis FR (1979) Thermal-dye lungwater measurements. Effect of edema and embolization. J Surg Res 26:504–511.PubMedCrossRefGoogle Scholar
  30. 30.
    Zimmerman JE, Goodman LR, Shahvari MBG (1979) Effect of mechanical ventilation and positive endexpiratory pressure (PEEP) on chest radiographs. AJR 133:811–819.PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1988

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  • A. F. Turner

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