Articles: respiratory-distress-syndrome.
-
Three patients with tularemia pneumonia developed adult respiratory distress syndrome and required positive end-expiratory pressure for adequate oxygenation. Rapid improvement was noted following appropriate antibiotic therapy, and mechanical ventilation was successfully discontinued after six to eight days.
-
Southern medical journal · Jul 1985
Case ReportsAdult respiratory distress syndrome due to malignant histiocytosis.
While a 23-year-old man was being evaluated for a two-month history of night sweats, fever, and weight loss, he had the typical clinical, radiologic, and laboratory findings of adult respiratory distress syndrome (ARDS). After a diagnosis of malignant histiocytosis (MH) was established by lymph node biopsy, review of an earlier lung biopsy initially interpreted as nonspecific revealed malignant histiocytes. He failed to respond to combination chemotherapy and died as a result of progressive respiratory failure.
-
In 16 anesthetized dogs, low-pressure pulmonary edema was induced by the intravenous infusion of oleic acid (0.02 mL/kg). One group of four animals served as controls. In the remaining 12 animals, the pulmonary capillary wedge pressure (Pcwp) was lowered in an effort to decrease the accumulation of extravascular lung water (EVLW). ⋯ In four dogs, reduction of the Pcwp did not decrease the accumulation of EVLW but did reduce the rate of accumulation. In animals in which the EVLW reached a minimum, restoration of Pcwp to baseline values did not increase edema, while the control animals continued to deteriorate. Presumably, changes in tissue and lymphatic dynamics compensated for the increased capillary permeability.