Hyper-acute neurogenic pulmonary oedema in a prehospital setting: a case report
1Community Health Centre Vrhnika, 1360 Vrhnika, Slovenia
2Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia
3Department of Neurology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
DOI: 10.22514/sv.2021.087 Vol.17,Issue 4,July 2021 pp.208-211
Submitted: 13 October 2020 Accepted: 09 March 2021
Published: 08 July 2021
Introduction: Neurogenic pulmonary oedema (NPO) is a form of pulmonary oedema which can develop after an acute central nervous system (CNS) lesion, most often a subarachnoid haemorrhage (SAH). Its pathogenesis is associated with a surge of catecholamines which are released into the systemic circulation following an abrupt increase in intracranial pressure or a strategic CNS lesion. NPO typically presents with dyspnoea, tachypnoea, hypoxia, pink frothy sputum, bilateral crackles on auscultation, and bilateral infiltrates on chest X-ray in a few hours or days following the event.
Case report: The following case report describes a case of hyper-acute NPO following a SAH, which presented as acute respiratory failure in the minutes after the event and required fast and aggressive treatment in the prehospital setting.
Conclusion: The management of NPO is primarily focused on prompt diagnosis and treatment of a CNS event and supportive care.
Pulmonary oedema; Prehospital emergency care; Neurology
Lucija Galič,Andrej Fabjan,Vesna Homar. Hyper-acute neurogenic pulmonary oedema in a prehospital setting: a case report. Signa Vitae. 2021. 17(4);208-211.
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