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- P G Murphy, R Jackson, R Kirollos, J S Gibson, and P Chennells.
- Department of Anaesthesia, General Infirmary, Leeds.
- Br J Anaesth. 1993 May 1; 70 (5): 583-6.
AbstractWe describe a case of severe acute lung injury after attempted strangulation. The patient presented initially with cerebral irritability and florid, noncardiogenic pulmonary oedema which were followed by a prolonged period of the adult respiratory distress syndrome, severe sepsis and multiple system organ failure, although the patient eventually survived. The pulmonary injury following strangulation is proposed to be a result of the generation of marked subatmospheric pressures within the lungs during vigorous inspiration against an obstructed airway, although the processes involved in the so-called neurogenic pulmonary oedema are difficult to exclude.
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