Minerva anestesiologica
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Minerva anestesiologica · Oct 2013
Neurogenic pulmonary edema and variations of emodynamic volumetric parameters, in children following head trauma.
Currently there is no clear evidence of how changes in hemodynamic parameters are involved in the onset of neurogenic pulmonary edema. Aim of the study has been to correlate the principal variations of the intracranial pressure and volumetric hemodynamic parameters with the variations of extravascular lung water following severe head trauma in children. ⋯ The increased EVLWi observed in children following severe head trauma seems mainly related with pulmonary vascular permeability which is significantly increased when ICP is >15 mmHg.
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The use of a fiberoptic bronchoscope is fundamental to the positioning of bronchial blockers. However, a fiberoptic bronchoscope could be unavailable. We tried to devise a blind method to locate the blocker without help of a fiberoptic bronchoscope. ⋯ This novel technique to blindly position bronchial blockers could be almost successful in isolating the right lung. However, isolation of the left lung was frequently unsuccessful in spite of several attempts.