Neurogenic pulmonary edema and variations of hemodynamic volumetric parameters in children following head trauma

C. Cecchetti, M. Elli, F. Stoppa, M. Di Nardo, E. Pasotti, I. Gentile, S. Paoli, N. Pirozzi, R. Lubrano

Research output: Contribution to journalArticle

Abstract

Background. 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. Methods. We studied 28 children, 16 males and 12 females, mean ± SD age 71±29 months (range 24-130 months), admitted for traumatic head injury with Glasgow Coma scale ≤8. All patients received volumetric hemodynamic, and intracranial pressure monitoring following initial resuscitation and every four hours thereafter or whenever a hemodynamic deterioration was suspected. All readings were divided in 2 groups: with intracranial pressure (ICP) >15 mmHg or ≤15 mmHg. Results. During the cumulative in hospital stay a total 508 sets of measurements were done. In the group with ICP >15 mmHg vs. that with ICP ≤15 mmHg we observed increased Extravascular Lung Water Index (EVLWi) (11.05±2.28 vs. 6.96±0.87 P2/FiO2 ratio (349±122 vs. 490±96 P2=0.83, P15 mmHg.

Original languageEnglish
Pages (from-to)1140-1146
Number of pages7
JournalMinerva Anestesiologica
Volume79
Issue number10
Publication statusPublished - Oct 2013

Keywords

  • Child
  • Extravascular lung water
  • Intracranial pressure
  • Pulmonary edema

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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